Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05655 | Date 02/07/2019 |
| Token No | SM/19-20/5790 02/07/2019 | Serial | 080 Last Visit: 02/07/2019 |
| Patient Name | Mr. GOPAL CHANDRA MONDAL | Contact No | |
| Address | 28 CHAKRABORTY LANE, SERAMPORE | Age | 80 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||