Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06439 | Date 17/09/2019 |
| Token No | SM/19-20/10511 17/09/2019 | Serial | 002 Last Visit: 19/09/2019 |
| Patient Name | Mr. PARTHO SARTHI BAGCHI | Contact No | 9836782311 |
| Address | SERAMPORE COLLNEY | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||