Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06816 | Date 07/11/2019 |
| Token No | SM/19-20/12874 07/11/2019 | Serial | 045 Last Visit: 07/11/2019 |
| Patient Name | Mr. BINOY AHIRI | Contact No | 9051188849 |
| Address | 20 PN CHAKRABORTY LANE CHATRA SERAMPORE HOOGHLY,712204 | Age | 46 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||