Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06077 | Date 07/08/2019 |
| Token No | SM/19-20/8084 07/08/2019 | Serial | 027 Last Visit: 07/08/2019 |
| Patient Name | Mr. PUNA CHANDRA PAL | Contact No | 8017681501 |
| Address | 5A CHATRA KUMAR PARA , SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||