Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05775 | Date 15/07/2019 |
| Token No | SM/19-20/6513 15/07/2019 | Serial | 056 Last Visit: 15/07/2019 |
| Patient Name | Mr. PABAN JHA | Contact No | 9051048281 |
| Address | 49 N.N .RAY STREET SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||