Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07609 | Date 24/02/2020 |
| Token No | SM/19-20/18528 24/02/2020 | Serial | 004 Last Visit: 24/02/2020 |
| Patient Name | Mr. SHANKAR BISWAS | Contact No | 9674449159 |
| Address | 90 N.S AVENUE SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||