Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 07716 | Date 05/03/2020 |
| Token No | SM/19-20/19152 05/03/2020 | Serial | 033 Last Visit: 23/09/2022 |
| Patient Name | Mr. KASHINATH DAS | Contact No | 8013883212 |
| Address | 19 BASINAV PARA 1ST LANE SERAMPORE | Age | 64 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||