Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07677 | Date 29/02/2020 |
| Token No | SM/19-20/18912 29/02/2020 | Serial | 013 Last Visit: 17/03/2020 |
| Patient Name | Mr. ARUN GHOSH | Contact No | 7595929122 |
| Address | 4 C VIVEKANANDA LANE, | Age | 62 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||