Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05934 | Date 24/07/2019 |
| Token No | SM/19-20/7227 24/07/2019 | Serial | 069 Last Visit: 24/07/2019 |
| Patient Name | Mr. AVIJIT ADAK | Contact No | 9475100476 |
| Address | SERAMPORE AMULKANAN | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||