Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05070 | Date 11/05/2019 |
| Token No | SM/19-20/2532 11/05/2019 | Serial | 020 Last Visit: 11/05/2019 |
| Patient Name | Mr. TAPAS DEY | Contact No | 8479944683 |
| Address | MAHISHYA PARA ,BELUMILKI SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||