Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05670 | Date 05/07/2019 |
| Token No | SM/19-20/5903 05/07/2019 | Serial | 066 Last Visit: 23/04/2020 |
| Patient Name | Mr. SUMITRA KUMAR DUTTA | Contact No | 9143159385 |
| Address | 5 CHATRA GHOSH PARA BYE LANE SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||