Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06992 | Date 26/11/2019 |
| Token No | SM/19-20/14076 26/11/2019 | Serial | 083 Last Visit: 26/11/2019 |
| Patient Name | Mr. SUKANTA RAY | Contact No | 9836266510 |
| Address | 18 N.N ROY STREET SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||