Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06119 | Date 16/08/2019 |
| Token No | SM/19-20/8454 16/08/2019 | Serial | 037 Last Visit: 16/08/2019 |
| Patient Name | Mr. DEEPAK KUMAR MANDAL | Contact No | 9330048291 |
| Address | 11 RABINDRA BHAWAN ROAD SERAMPORE | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||