Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07074 | Date 05/12/2019 |
| Token No | SM/20-21/25741 15/09/2020 | Serial | 066 Last Visit: 15/09/2020 |
| Patient Name | Mr. SAYAN ADAK | Contact No | 8697736544 |
| Address | 164A N.S AVENUE SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||