Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03278 | Date 01/02/2019 |
| Token No | SM/19-20/6790 18/07/2019 | Serial | 065 Last Visit: 05/03/2020 |
| Patient Name | Mr. GOUTAM DEY | Contact No | 9564644075 |
| Address | 8 AUDDY LANE,SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||