Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04718 | Date 16/04/2019 |
| Token No | SM/19-20/965 16/04/2019 | Serial | 081 Last Visit: 16/04/2019 |
| Patient Name | Mr. ASIT BARAT | Contact No | 9143740789 |
| Address | 673 GT ROAD SERAMPORE HOOGHLY | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||