Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02249 | Date 30/11/2018 |
| Token No | SM/19-20/15899 26/12/2019 | Serial | 030 Last Visit: 06/04/2021 |
| Patient Name | Mr. SANKAR DEY | Contact No | 9674547260 |
| Address | 160 N S AVENUE, SERAMPORE | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||