Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04575 | Date 05/04/2019 |
| Token No | SM/19-20/350 05/04/2019 | Serial | 056 Last Visit: 05/04/2019 |
| Patient Name | Mr. SK AKKAHAS | Contact No | 9748610594 |
| Address | 4 CHIKHANA ROAD,SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||