Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07311 | Date 10/01/2020 |
| Token No | SM/19-20/16483 10/01/2020 | Serial | 008 Last Visit: 10/01/2020 |
| Patient Name | Mr. GOURI BAG | Contact No | 9836028491 |
| Address | 62 MUSALMANPARA ROAD SERAMPORE HOOGHLY | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||