Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06472 | Date 19/09/2019 |
| Token No | SM/19-20/10696 19/09/2019 | Serial | 078 Last Visit: 19/09/2019 |
| Patient Name | Mr. PRADIP GHOSH | Contact No | 8910631919 |
| Address | 31 /A/1 CHOWDHURY PARA BYE LANE SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||