Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05600 | Date 27/06/2019 |
| Token No | SM/19-20/5472 27/06/2019 | Serial | 055 Last Visit: 27/06/2019 |
| Patient Name | Mr. ASHOKE BHATTACHARJEE | Contact No | |
| Address | 33 DR, P.N MUKHERJEE STREET SERAMPORE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||