Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06889 | Date 18/11/2019 |
| Token No | SM/19-20/13439 18/11/2019 | Serial | 014 Last Visit: 19/11/2019 |
| Patient Name | Mr. SASWATA DEY | Contact No | 8420132689 |
| Address | 9B ROY M.C LAHIRI BAHADUR STREET SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||