Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05050 | Date 10/05/2019 |
| Token No | SM/19-20/2405 10/05/2019 | Serial | 002 Last Visit: 10/05/2019 |
| Patient Name | Mr. APARESH DASHRTHI SOM | Contact No | 9913885672 |
| Address | 17B CHATRA DUTTA PARA LANE SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||