Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02942 | Date 10/01/2019 |
| Token No | SM/18-19/6612 10/01/2019 | Serial | 039 Last Visit: 10/01/2019 |
| Patient Name | Mr. BISWAJIT SINGH | Contact No | 9836462332 |
| Address | 10 M.G ROAD SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||