Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07152 | Date 14/12/2019 |
| Token No | SM/19-20/15307 14/12/2019 | Serial | 072 Last Visit: 14/12/2019 |
| Patient Name | Mr. TAPAN KUMAR GHOSH | Contact No | |
| Address | 4 AEDO PUKUR LANE SERAMPORE | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||