Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04794 | Date 20/04/2019 |
| Token No | SM/19-20/1281 20/04/2019 | Serial | 102 Last Visit: 20/04/2019 |
| Patient Name | Mr. ARUP KAR | Contact No | 9051169588 |
| Address | 23A THAKUR DAS BABU LANE SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||