Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04219 | Date 15/03/2019 |
| Token No | SM/18-19/10562 15/03/2019 | Serial | 055 Last Visit: 15/03/2019 |
| Patient Name | Mr. SUSHANTA SANYAL | Contact No | 9433242968 |
| Address | 6A LAHIRI PARA CHATRA SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||