Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06880 | Date 15/11/2019 |
| Token No | SM/19-20/16571 11/01/2020 | Serial | 031 Last Visit: 19/02/2020 |
| Patient Name | Mr. ARABINDA HALDAR | Contact No | 8373097557 |
| Address | 61 THAKUR DAS BABU LANE SERAMPORE | Age | 49 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 73.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||