Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05292 | Date 29/05/2019 |
| Token No | SM/19-20/3697 29/05/2019 | Serial | 064 Last Visit: 29/05/2019 |
| Patient Name | Mr. SANJIT GOUR | Contact No | 9038561364 |
| Address | TARAPUKUR GOVT. QUATER SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||