Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04565 | Date 05/04/2019 |
| Token No | SM/19-20/944 16/04/2019 | Serial | 060 Last Visit: 29/04/2019 |
| Patient Name | Mr. KAPIL DEO PRASAD | Contact No | 9674788530 |
| Address | 77 K.M SHA STREET SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||