Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06950 | Date 21/11/2019 |
| Token No | SM/19-20/13747 21/11/2019 | Serial | 085 Last Visit: 21/11/2019 |
| Patient Name | Mr. SUVENDU MANA | Contact No | 8820406797 |
| Address | 37/B CHATRA MANA PARA SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||