Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06856 | Date 14/11/2019 |
| Token No | SM/19-20/13202 14/11/2019 | Serial | 029 Last Visit: 14/11/2019 |
| Patient Name | Mr. SUVHADEEP PAL | Contact No | 9874321284 |
| Address | 36 NO KUMOR PARA LANE CHATRA , SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||