Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04569 | Date 05/04/2019 |
| Token No | SM/19-20/331 05/04/2019 | Serial | 037 Last Visit: 05/04/2019 |
| Patient Name | Mr. SK CHAND | Contact No | |
| Address | 11 TIKIYA PARA,SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||