Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06661 | Date 16/10/2019 |
| Token No | SM/19-20/11868 16/10/2019 | Serial | 086 Last Visit: 16/10/2019 |
| Patient Name | Mr. SHYAMAL BAG | Contact No | 9903588899 |
| Address | 11/A DUTTAS LANE SERAMPORE | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 154/80 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||