Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07089 | Date 06/12/2019 |
| Token No | SM/19-20/14757 06/12/2019 | Serial | 014 Last Visit: 13/12/2019 |
| Patient Name | Mr. ALOK GHOSAL | Contact No | 9903132418 |
| Address | 36 SATCHASHI PARA SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||