Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06521 | Date 24/09/2019 |
| Token No | SM/19-20/10985 24/09/2019 | Serial | 003 Last Visit: 27/09/2019 |
| Patient Name | Mr. TARUN GHOSH MAJUMDAR | Contact No | 9163723080 |
| Address | 19E G. D,BHATTACHARJEE STREET,BAIDYABATI(M) | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||