Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07183 | Date 18/12/2019 |
| Token No | SM/19-20/15559 18/12/2019 | Serial | 069 Last Visit: 11/05/2020 |
| Patient Name | Mr. SAMIR DHUL | Contact No | 9674251459 |
| Address | 37 SANIPARA LANE SERAMPORE MALLICKPARA | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||