Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06838 | Date 11/11/2019 |
| Token No | SM/19-20/13053 11/11/2019 | Serial | 095 Last Visit: 11/11/2019 |
| Patient Name | Mr. RAM PRASAD DAS | Contact No | 9051882993 |
| Address | 9/B DHARMOTALA LANE SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||