Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02840 | Date 05/01/2019 |
| Token No | SM/19-20/221 04/04/2019 | Serial | 010 Last Visit: 03/07/2020 |
| Patient Name | Mr. ANANDA GANGULI | Contact No | 9330973303 |
| Address | 63 THAKUR DAS BABU LANE | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||