Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07374 | Date 20/01/2020 |
| Token No | SM/19-20/16905 20/01/2020 | Serial | 018 Last Visit: 20/01/2020 |
| Patient Name | Mr. SAHEB RUIDAS | Contact No | 9674066642 |
| Address | 36/4 HARIJAN ROAD SERAMPORE, BAIDYABATI(M) | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||