Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06150 | Date 19/08/2019 |
| Token No | SM/19-20/8669 19/08/2019 | Serial | 123 Last Visit: 19/08/2019 |
| Patient Name | Mr. P N BANERJEE | Contact No | |
| Address | SHEWRAPHULI , BAIDYABATI(M) | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||