Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05151 | Date 17/05/2019 |
| Token No | SM/19-20/2934 17/05/2019 | Serial | 038 Last Visit: 17/05/2019 |
| Patient Name | Mr. AJOY KUMAR DAS | Contact No | 9007405597 |
| Address | 4 SIDDESWARI LANE CHATRA , SERAMPORE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||