Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01969 | Date 14/11/2018 |
| Token No | SM/18-19/3697 14/11/2018 | Serial | 086 Last Visit: 13/01/2020 |
| Patient Name | Mr. TAPAN KUMAR BHATTACHARJEE | Contact No | 9051191219 |
| Address | 49 BENIA PARA LANE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||