Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01988 | Date 15/11/2018 |
| Token No | SM/18-19/3748 15/11/2018 | Serial | 043 Last Visit: 06/12/2018 |
| Patient Name | Mr. MURARI CHATTERJEE | Contact No | 9339151642 |
| Address | CHATA SHITALA TALA | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||