Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07900 | Date 24/03/2020 |
| Token No | SM/19-20/20189 24/03/2020 | Serial | 010 Last Visit: 24/03/2020 |
| Patient Name | Mr. GOUTAM ROY | Contact No | 6290411393 |
| Address | 21 A. P. GHOSH ROAD,SERAMPUR | Age | 60 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||