Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06456 | Date 18/09/2019 |
| Token No | SM/19-20/10597 18/09/2019 | Serial | 018 Last Visit: 18/09/2019 |
| Patient Name | Mr. SK RAMJAN | Contact No | |
| Address | 7 TARAPUKUR LANE, SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||