Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02402 | Date 07/12/2018 |
| Token No | SM/18-19/4858 07/12/2018 | Serial | 052 Last Visit: 07/12/2018 |
| Patient Name | Mr. NISHIT KUMAR SAHA | Contact No | 26625967 |
| Address | 19 F VIVEKANAND LANE SERAMPORE | Age | 88 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 170/100 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||