Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06321 | Date 03/09/2019 |
| Token No | SM/19-20/11209 27/09/2019 | Serial | 020 Last Visit: 27/09/2019 |
| Patient Name | Mr. SOUMYENDU CHATTERJEE | Contact No | 7044629133 |
| Address | 04 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 94 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||