Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07280 | Date 06/01/2020 |
| Token No | SM/19-20/17102 24/01/2020 | Serial | 017 Last Visit: 03/08/2022 |
| Patient Name | Mr. BASNAYK SINGH | Contact No | 8017657184 |
| Address | 4 MAHATMA GANDHI ROAD SERAMPORE | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||