Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05044 | Date 08/05/2019 |
| Token No | SM/19-20/2385 08/05/2019 | Serial | 076 Last Visit: 08/05/2019 |
| Patient Name | Mr. RAMESWAR RAM | Contact No | 9903142211 |
| Address | 164 N.S AVENUE SERAMPORE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||