Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05880 | Date 22/07/2019 |
| Token No | SM/19-20/7006 22/07/2019 | Serial | 024 Last Visit: 22/07/2019 |
| Patient Name | Mr. TAPASH DAS | Contact No | 8420788049 |
| Address | BUILDING BAZAR SERAMPORE | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||