Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06002 | Date 29/07/2019 |
| Token No | SM/19-20/7551 29/07/2019 | Serial | 087 Last Visit: 29/07/2019 |
| Patient Name | Mr. KARTICK DAS | Contact No | |
| Address | 68T CHATERJEE PARA LANE , BAIDYABTI(M) | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||