Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01035 | Date 11/09/2018 |
| Token No | SM/18-19/1902 22/09/2018 | Serial | 015 Last Visit: 27/10/2018 |
| Patient Name | Mr. JOYDEB MONDAL | Contact No | 9143467016 |
| Address | 32, CHAKRABORTY LANE SERAMPORE | Age | 45.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/100 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||