Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01706 | Date 27/10/2018 |
| Token No | SM/18-19/5841 27/12/2018 | Serial | 099 Last Visit: 17/10/2019 |
| Patient Name | Mr. INDRANIL DEBNATH | Contact No | 9163477973 |
| Address | 55 G T ROAD, SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||