Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06108 | Date 10/08/2019 |
| Token No | SM/19-20/9083 24/08/2019 | Serial | 060 Last Visit: 18/09/2019 |
| Patient Name | Mr. RABINDRA NATH SASMAL | Contact No | 9163948106 |
| Address | 19 CHAKRABORTY LANE SERAMPORE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||