Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06390 | Date 12/09/2019 |
| Token No | SM/19-20/10265 12/09/2019 | Serial | 083 Last Visit: 12/09/2019 |
| Patient Name | Mr. GANESH CHANDRA SINGH | Contact No | 9051170601 |
| Address | 33, P.N MUKHERJEE STREET SERAMPORE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||