Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05881 | Date 22/07/2019 |
| Token No | SM/19-20/7007 22/07/2019 | Serial | 025 Last Visit: 19/08/2019 |
| Patient Name | Mr. AKSHAY CHATERJEE | Contact No | 7278675874 |
| Address | 18/A GHOSHPARA 1 ST LANE CHATRA SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||