Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04068 | Date 07/03/2019 |
| Token No | SM/19-20/16961 21/01/2020 | Serial | 005 Last Visit: 20/04/2020 |
| Patient Name | Mr. SUSHIL CHANDRA RUIDAS | Contact No | 6290315698 |
| Address | 6 DR B.R AMBEDKAR LANE SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||