Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02441 | Date 10/12/2018 |
| Token No | SM/19-20/3269 23/05/2019 | Serial | 017 Last Visit: 23/05/2019 |
| Patient Name | Mr. SAHADEB PASWAN | Contact No | |
| Address | RAY GHAT LANE SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||