Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07062 | Date 03/12/2019 |
| Token No | SM/19-20/14608 03/12/2019 | Serial | 091 Last Visit: 03/12/2019 |
| Patient Name | Mr. SANDIP PAL | Contact No | 6291418911 |
| Address | 33 K.M BHATTCHARJEE STREET SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||