Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06640 | Date 15/10/2019 |
| Token No | SM/19-20/12374 24/10/2019 | Serial | 049 Last Visit: 24/10/2019 |
| Patient Name | Mr. PRIYA KISKU | Contact No | 9330626356 |
| Address | 3 PARSI LANE SILBAGAN , SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||