Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06720 | Date 21/10/2019 |
| Token No | SM/19-20/16080 31/12/2019 | Serial | 022 Last Visit: 24/01/2020 |
| Patient Name | Mr. SISIDHAR RAY | Contact No | |
| Address | CHATRA LANKAR BAGAN , SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||