Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06394 | Date 13/09/2019 |
| Token No | SM/19-20/10562 17/09/2019 | Serial | 053 Last Visit: 27/09/2019 |
| Patient Name | Mr. RABINDRA NATH CHAKRABORTY | Contact No | 7596867167 |
| Address | 36/2 SHITALATALA ROAD, BAIDYABATI(M) | Age | 79 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||