Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05146 | Date 17/05/2019 |
| Token No | SM/19-20/3119 21/05/2019 | Serial | 067 Last Visit: 21/05/2019 |
| Patient Name | Mr. MANOJ KAYAL | Contact No | 9594598364 |
| Address | 13/2 CHATRA CHOWDHURY PARA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||