Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06993 | Date 26/11/2019 |
| Token No | SM/19-20/14085 26/11/2019 | Serial | 092 Last Visit: 03/12/2019 |
| Patient Name | Mr. PASUPATI PAL | Contact No | 9836872698 |
| Address | 8A/4 KUMAR PARA LANE CHATRA , SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||