Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04907 | Date 25/04/2019 |
| Token No | SM/19-20/17638 05/02/2020 | Serial | 014 Last Visit: 05/02/2020 |
| Patient Name | Mr. BASUDEB MONDAL | Contact No | 9874024236 |
| Address | 18 N.N ROY STREET SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||