Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07759 | Date 12/03/2020 |
| Token No | SM/19-20/19439 12/03/2020 | Serial | 001 Last Visit: 12/03/2020 |
| Patient Name | Mr. SANDIP DEY | Contact No | 9830948481 |
| Address | 12 ROY GHAT LANE SERAMPORE | Age | 32 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||