Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04952 | Date 27/04/2019 |
| Token No | SM/19-20/1835 27/04/2019 | Serial | 084 Last Visit: 27/04/2019 |
| Patient Name | Mr. AMAL RAY | Contact No | 9874654778 |
| Address | CHOTO BELUR CHECK POST, SERAMPORE | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||