Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06322 | Date 03/09/2019 |
| Token No | SM/19-20/9722 03/09/2019 | Serial | 033 Last Visit: 03/09/2019 |
| Patient Name | Mr. DAYANANDA PRASAD | Contact No | 8013825973 |
| Address | 104 RISHI BANKIM SARANI , SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||