Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05444 | Date 15/06/2019 |
| Token No | SM/19-20/4647 15/06/2019 | Serial | 030 Last Visit: 15/12/2021 |
| Patient Name | Mr. PRABIR DAS | Contact No | 9007680589 |
| Address | 14 SIDDHESWARI LANE SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||