Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00482 | Date 16/08/2018 |
| Token No | SM/19-20/1061 17/04/2019 | Serial | 068 Last Visit: 09/07/2021 |
| Patient Name | Mr. TINKU ROY | Contact No | 9163547290 |
| Address | 24/ E S C CHATTERJEE STRET KONNAGAR (M) | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||