Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07042 | Date 02/12/2019 |
| Token No | SM/19-20/14496 02/12/2019 | Serial | 089 Last Visit: 02/12/2019 |
| Patient Name | Mr. SUJIT PRASAD | Contact No | 7980330353 |
| Address | 653/A G.T ROAD KALI TALA , SERAMPORE | Age | 25 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||