Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06182 | Date 21/08/2019 |
| Token No | SM/19-20/8845 21/08/2019 | Serial | 007 Last Visit: 24/08/2019 |
| Patient Name | Mr. PRASANTA KARMAKAR | Contact No | 9088549414 |
| Address | 2/B SIDDHESWARI LANE CHATRA SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||