Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06715 | Date 21/10/2019 |
| Token No | SM/19-20/12168 21/10/2019 | Serial | 065 Last Visit: 26/11/2019 |
| Patient Name | Mr. GAUTAM BISWAS | Contact No | 7890991151 |
| Address | 16 K.M SAHA STREET SERAMPORE | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||