Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00833 | Date 30/08/2018 |
| Token No | SM/18-19/7370 24/01/2019 | Serial | 057 Last Visit: 20/04/2021 |
| Patient Name | Mr. SWAPAN GHOSH | Contact No | 8981326206 |
| Address | 24 N.N ROY STREET | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||