Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05242 | Date 27/05/2019 |
| Token No | SM/19-20/3479 27/05/2019 | Serial | 035 Last Visit: 11/07/2019 |
| Patient Name | Mr. TILAKDHARI SHAW | Contact No | 8013493946 |
| Address | 1 BAGBAZAR STREET , BAGBAZAR, KOLKATA | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/76 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||