Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04297 | Date 19/03/2019 |
| Token No | SM/19-20/25084 24/08/2020 | Serial | 026 Last Visit: 24/08/2020 |
| Patient Name | Mr. DILIP SINGH | Contact No | 9007742612 |
| Address | 1 N.N ROY STREET SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||