Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06863 | Date 14/11/2019 |
| Token No | SM/19-20/14535 03/12/2019 | Serial | 018 Last Visit: 05/05/2020 |
| Patient Name | Mr. SHANKAR DEY | Contact No | 9088516793 |
| Address | 20/G/1, D.N.B SARANI SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||