Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04977 | Date 30/04/2019 |
| Token No | SM/19-20/1959 30/04/2019 | Serial | 027 Last Visit: 13/05/2019 |
| Patient Name | Mr. RAHUL PANDIT | Contact No | 7044594468 |
| Address | 13 ROY MC LAHIRI STREET SERAMPORE | Age | 18 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||