Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04663 | Date 11/04/2019 |
| Token No | SM/19-20/708 11/04/2019 | Serial | 015 Last Visit: 11/04/2019 |
| Patient Name | Mr. LACHMAN KUMAR | Contact No | 8443861927 |
| Address | 4 L.B.S ROAD TINBAJAR SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||