Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07761 | Date 12/03/2020 |
| Token No | SM/19-20/19443 12/03/2020 | Serial | 005 Last Visit: 23/03/2020 |
| Patient Name | Mr. SUJAL DEY | Contact No | 7278924737 |
| Address | 32/A B P DEY STREET SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||