Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05223 | Date 25/05/2019 |
| Token No | SM/19-20/3380 25/05/2019 | Serial | 006 Last Visit: 18/07/2019 |
| Patient Name | Mr. NARAYAN PASWAN | Contact No | 8583811521 |
| Address | 10 MAHATAMA GHANDHI ROAD SERAMPORE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 134/82 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||