Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03710 | Date 20/02/2019 |
| Token No | SM/18-19/9063 20/02/2019 | Serial | 001 Last Visit: 20/02/2019 |
| Patient Name | Mr. RAJENDRA SINGH | Contact No | 8777537737 |
| Address | 33 N.S AVENUE SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||