Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02552 | Date 17/12/2018 |
| Token No | SM/18-19/5328 17/12/2018 | Serial | 009 Last Visit: 20/07/2020 |
| Patient Name | Mr. CHANDRA KANTA GOSWAMI | Contact No | 9007325003 |
| Address | 31 THAKUR DAS BABU LANE, SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||