Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02243 | Date 30/11/2018 |
| Token No | SM/19-20/1449 23/04/2019 | Serial | 030 Last Visit: 23/04/2019 |
| Patient Name | Mr. SIDHARTA BERA | Contact No | 9382291992 |
| Address | SERAMPORE MUNICIPALITY QUATER | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||