Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06749 | Date 23/10/2019 |
| Token No | SM/19-20/12304 23/10/2019 | Serial | 042 Last Visit: 23/10/2019 |
| Patient Name | Mr. PANKAJ PAL | Contact No | 9830772510 |
| Address | 61 MUKHERJEE PARA LANE SERAMPORE | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||