Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04411 | Date 27/03/2019 |
| Token No | SM/18-19/11302 27/03/2019 | Serial | 006 Last Visit: 29/03/2019 |
| Patient Name | Mr. SUBRATA BHATTCHARJEE | Contact No | 9831712498 |
| Address | 8B/1 BHATTCHARJEE LANE SERAMPORE | Age | 73 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 150/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||