Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05618 | Date 29/06/2019 |
| Token No | SM/19-20/5580 29/06/2019 | Serial | 013 Last Visit: 13/09/2019 |
| Patient Name | Mr. SHANKAR PASWAN | Contact No | 8013082248 |
| Address | 10 M.G ROAD SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||