Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06474 | Date 19/09/2019 |
| Token No | SM/19-20/11173 26/09/2019 | Serial | 057 Last Visit: 03/07/2020 |
| Patient Name | Mr. RAJESH DUTTA | Contact No | 9804417931 |
| Address | 84/A CHATRA BARUI PARA LANE SERAMPORE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||