Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02388 | Date 07/12/2018 |
| Token No | SM/18-19/5117 12/12/2018 | Serial | 031 Last Visit: 16/05/2019 |
| Patient Name | Mr. TAPAN KR. GHOSH | Contact No | 9830171243 |
| Address | 6/2 ROY GHAT LANE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||