Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06136 | Date 16/08/2019 |
| Token No | SM/19-20/8527 16/08/2019 | Serial | 110 Last Visit: 16/08/2019 |
| Patient Name | Mr. BASUDEB ROY CHOWDHURY | Contact No | 7449892117 |
| Address | MAHESH COLLNEY, SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||