Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01653 | Date 12/10/2018 |
| Token No | SM/19-20/4547 14/06/2019 | Serial | 022 Last Visit: 14/06/2019 |
| Patient Name | Mr. BAPI BANERJEE | Contact No | |
| Address | SEORAFULI D P MUKHEREJEE ROAD | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||