Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07886 | Date 23/03/2020 |
| Token No | SM/19-20/20106 23/03/2020 | Serial | 001 Last Visit: 23/03/2020 |
| Patient Name | Mr. GANESH CHANDRA GHOSH | Contact No | 6289259070 |
| Address | 7 CHONDRAMOHON ROY LANE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||