Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05496 | Date 20/06/2019 |
| Token No | SM/19-20/4944 20/06/2019 | Serial | 084 Last Visit: 20/06/2019 |
| Patient Name | Mr. GOBINDA PANDIT | Contact No | 9836028798 |
| Address | 13 ROY MC LAHIRI STREET CHATRA SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||