Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06418 | Date 16/09/2019 |
| Token No | SM/19-20/10424 16/09/2019 | Serial | 025 Last Visit: 20/09/2019 |
| Patient Name | Mr. JOYDEB PAL | Contact No | 9903291555 |
| Address | 8/A/1 CHATRA KUMAR PARA SERAMPORE(M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||