Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06463 | Date 19/09/2019 |
| Token No | SM/19-20/10642 19/09/2019 | Serial | 024 Last Visit: 19/09/2019 |
| Patient Name | Mr. NIKHIL DEY | Contact No | 9836660936 |
| Address | 63 DHARMATALA LANE CHATRA SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||