Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 03482 | Date 09/02/2019 |
| Token No | SM/18-19/8385 09/02/2019 | Serial | 030 Last Visit: 09/02/2019 |
| Patient Name | Mr. CHANDAN CHATERJEE | Contact No | 9674514029 |
| Address | MATI PARA BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||