Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04659 | Date 10/04/2019 |
| Token No | SM/19-20/658 10/04/2019 | Serial | 024 Last Visit: 10/04/2019 |
| Patient Name | Mr. AJAY DHEKHI | Contact No | 7044355511 |
| Address | 45 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||