Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04386 | Date 26/03/2019 |
| Token No | SM/18-19/11588 30/03/2019 | Serial | 003 Last Visit: 30/03/2019 |
| Patient Name | Mr. BHARAT KUMAR BANERJEE | Contact No | 26527849 |
| Address | 11N K.L STREET SERAMPORE | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||