Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05727 | Date 10/07/2019 |
| Token No | SM/19-20/7297 25/07/2019 | Serial | 050 Last Visit: 25/07/2019 |
| Patient Name | Mr. PRITAM RAY | Contact No | 9163422839 |
| Address | 14 CHAKRABORTY LANE SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||