Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06461 | Date 19/09/2019 |
| Token No | SM/19-20/10640 19/09/2019 | Serial | 022 Last Visit: 19/09/2019 |
| Patient Name | Mr. RAJIB GANG PUTRA | Contact No | 9073806397 |
| Address | CHATRA A.P GHOSH ROAD SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||