Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06651 | Date 16/10/2019 |
| Token No | SM/19-20/11826 16/10/2019 | Serial | 044 Last Visit: 16/10/2019 |
| Patient Name | Mr. GULAL SINGHA | Contact No | 8617280529 |
| Address | 63/3 PRABHASH NAGAR , SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||