Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05906 | Date 23/07/2019 |
| Token No | SM/19-20/11939 17/10/2019 | Serial | 049 Last Visit: 28/11/2019 |
| Patient Name | Mr. ANUP BHATTCHARJEE | Contact No | 9748137117 |
| Address | SIMLA KALI TALA SERAMPORE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||