Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04876 | Date 23/04/2019 |
| Token No | SM/19-20/1526 23/04/2019 | Serial | 107 Last Visit: 23/04/2019 |
| Patient Name | Mr. TINKARI DUTTA | Contact No | 7596940550 |
| Address | 195 RAJDHARPUR GOVT. COLLNEY SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||