Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00325 | Date 10/08/2018 |
| Token No | SM/18-19/351 10/08/2018 | Serial | 039 Last Visit: 10/08/2018 |
| Patient Name | Mr. MONTU ROY | Contact No | |
| Address | SERAMPORE HOOGHLY | Age | 75.0 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||