Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01656 | Date 12/10/2018 |
| Token No | SM/18-19/7866 02/02/2019 | Serial | 055 Last Visit: 15/04/2020 |
| Patient Name | Mr. RAGHUNATH KUNDU | Contact No | 9836426280 |
| Address | 76 A P GHOSH ROAD CHATRA SERAMPORE | Age | 84 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||