Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05152 | Date 17/05/2019 |
| Token No | SM/19-20/2946 17/05/2019 | Serial | 050 Last Visit: 17/05/2019 |
| Patient Name | Mr. HARU SARDAR | Contact No | |
| Address | 71 GT ROAD , BAIDYABATI SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||