Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07173 | Date 17/12/2019 |
| Token No | SM/19-20/15463 17/12/2019 | Serial | 014 Last Visit: 20/12/2019 |
| Patient Name | Mr. BIJOY KUMAR PRASAD | Contact No | 8820245241 |
| Address | 25 K.M BHATTCHARJEE STREET SERAMPORE | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||