Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03278 | Date 01/02/2019 |
| Token No | SM/18-19/8688 14/02/2019 | Serial | 053 Last Visit: 05/03/2020 |
| Patient Name | Mr. GOUTAM DEY | Contact No | 9564644075 |
| Address | 8 AUDDY LANE,SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 150/110 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||