Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00699 | Date 25/08/2018 |
| Token No | SM/19-20/711 11/04/2019 | Serial | 018 Last Visit: 10/01/2020 |
| Patient Name | Mr. SHYAMAL KUMAR DAS | Contact No | 8420883432 |
| Address | 27/B A.P. GHOSH ROAD SERAMPORE | Age | 56.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||