Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06203 | Date 22/08/2019 |
| Token No | SM/19-20/8987 22/08/2019 | Serial | 052 Last Visit: 22/08/2019 |
| Patient Name | Mr. RAKESH BHATTACHARJEE | Contact No | 8777363883 |
| Address | SIMLA KALI TALA MALLICK PARA SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||