Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06424 | Date 16/09/2019 |
| Token No | SM/19-20/10450 16/09/2019 | Serial | 051 Last Visit: 16/09/2019 |
| Patient Name | Mr. NIMAI CHANDRA DUTTA | Contact No | |
| Address | 38 CHATRA DUTTA PARA SERAMPORE | Age | 83 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||