Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01838 | Date 01/11/2018 |
| Token No | SM/19-20/14471 02/12/2019 | Serial | 064 Last Visit: 02/12/2019 |
| Patient Name | Mr. BISWAJIT PAL | Contact No | 9339062792 |
| Address | 51 CHATRA DHARMATALA LANE, SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||