Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06397 | Date 13/09/2019 |
| Token No | SM/19-20/10699 19/09/2019 | Serial | 081 Last Visit: 19/09/2019 |
| Patient Name | Mr. RABINDRA NATH PAL | Contact No | 8777838883 |
| Address | 36/B , KUMAR PARA CHATRA SERAMPORE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||