Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06420 | Date 16/09/2019 |
| Token No | SM/19-20/10429 16/09/2019 | Serial | 030 Last Visit: 16/09/2019 |
| Patient Name | Mr. CHANDAN PASWAN | Contact No | 6289618979 |
| Address | ROY GHAT LANE SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||