Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06750 | Date 23/10/2019 |
| Token No | SM/19-20/12314 23/10/2019 | Serial | 052 Last Visit: 23/10/2019 |
| Patient Name | Mr. SURAJIT DAS | Contact No | 9830458198 |
| Address | 24 N.N RAY STRET SERAMPORE | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||