Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04059 | Date 07/03/2019 |
| Token No | SM/18-19/10067 07/03/2019 | Serial | 070 Last Visit: 08/03/2019 |
| Patient Name | Mr. DWIJENDRA NATH KUNDU | Contact No | 9333858986 |
| Address | 11 BHATTCHARYYA LANE SERAMPORE | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||