Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04989 | Date 30/04/2019 |
| Token No | SM/19-20/2000 30/04/2019 | Serial | 068 Last Visit: 30/04/2019 |
| Patient Name | Mr. ANANTA DAS | Contact No | 9433616040 |
| Address | 12D/3 TP BHATTCHARJEE STREET SERAMPORE | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||