Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06378 | Date 12/09/2019 |
| Token No | SM/19-20/10191 12/09/2019 | Serial | 009 Last Visit: 12/09/2019 |
| Patient Name | Mr. CHARANDEB PASWAN | Contact No | 9748126947 |
| Address | 10 MG ROAD SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||