Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06662 | Date 16/10/2019 |
| Token No | SM/19-20/11869 16/10/2019 | Serial | 087 Last Visit: 16/10/2019 |
| Patient Name | Mr. SAYANTAN DUTTA | Contact No | 7278805880 |
| Address | 7 PATUA PARA LANE , SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||