Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05060 | Date 10/05/2019 |
| Token No | SM/19-20/2448 10/05/2019 | Serial | 045 Last Visit: 10/05/2019 |
| Patient Name | Mr. KASHINATH GHSOH | Contact No | 9831742951 |
| Address | 50/B RAMKRISHNA ROAD CHATRA SERAMPORE , BAIDYABATI(M) | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||