Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07654 | Date 27/02/2020 |
| Token No | SM/19-20/18788 27/02/2020 | Serial | 076 Last Visit: 27/02/2020 |
| Patient Name | Mr. BAPI DAS | Contact No | 9874845279 |
| Address | 3/A/3 RAILAND CIRCULAR ROAD SERAMPORE | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||