Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05342 | Date 06/06/2019 |
| Token No | SM/19-20/19507 12/03/2020 | Serial | 069 Last Visit: 03/04/2020 |
| Patient Name | Mr. PRADIP PAUL | Contact No | 9330418160 |
| Address | 141,SHITALATALA ROAD SERAMPORE BAIDYABATI(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||