Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03365 | Date 04/02/2019 |
| Token No | SM/18-19/8001 04/02/2019 | Serial | 097 Last Visit: 04/02/2019 |
| Patient Name | Mr. SEYMAL GHOSAL | Contact No | 9038852703 |
| Address | 5 MALLIK PARA,SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||