Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06346 | Date 06/09/2019 |
| Token No | SM/19-20/11153 26/09/2019 | Serial | 037 Last Visit: 05/07/2021 |
| Patient Name | Mr. PANCHANAN BAG | Contact No | 7278818571 |
| Address | 12/A/1/A LAHIRI PARA LANE CHATRA , SERAMPORE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 178/100 mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||