Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05236 | Date 25/05/2019 |
| Token No | SM/19-20/3441 25/05/2019 | Serial | 067 Last Visit: 25/05/2019 |
| Patient Name | Mr. SANJAY GHOSH | Contact No | 8240426928 |
| Address | 15 N.N RAY STREET SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||