Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07417 | Date 25/01/2020 |
| Token No | SM/19-20/17190 25/01/2020 | Serial | 033 Last Visit: 25/01/2020 |
| Patient Name | Mr. ARUNASHIS SANYAL | Contact No | 9836592781 |
| Address | 3C HARI MOHON GOSWAMI STREET SERAMPORE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/100 mmHg | Weight | 70.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||