Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07246 | Date 28/12/2019 |
| Token No | SM/19-20/15996 28/12/2019 | Serial | 034 Last Visit: 28/12/2019 |
| Patient Name | Mr. ARINDAM GOSWAMI | Contact No | 8777417155 |
| Address | 10 DR G.C GOSWAMI STREET SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||