Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04234 | Date 15/03/2019 |
| Token No | SM/18-19/11073 23/03/2019 | Serial | 077 Last Visit: 23/03/2019 |
| Patient Name | Mr. SUBHOJIT CHATERJEE | Contact No | 8335925769 |
| Address | 23/B CHATRA CHOWDHURY PARA BYE LANE , SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||