Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06277 | Date 30/08/2019 |
| Token No | SM/19-20/9481 30/08/2019 | Serial | 053 Last Visit: 30/08/2019 |
| Patient Name | Mr. ASHUTOSH BASU | Contact No | 9007735960 |
| Address | BABAN PUR LOCK GATE , BARRACKPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||