Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06806 | Date 06/11/2019 |
| Token No | SM/19-20/12803 06/11/2019 | Serial | 056 Last Visit: 06/11/2019 |
| Patient Name | Mr. DIBAKAR PANI | Contact No | 9830425411 |
| Address | 29/H/1, LAHIRI PARA LANE SERAMPORE | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 128/75 mmHg | Weight | 81 KG |
| Pulse Rate | 67 / min | Height | cm BMI: inf |
| Diagnosis | |||