Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06605 | Date 11/10/2019 |
| Token No | SM/19-20/11582 11/10/2019 | Serial | 030 Last Visit: 11/10/2019 |
| Patient Name | Mr. ABHIJIT DHARA | Contact No | 8420106028 |
| Address | 49/A DAKSHIN BHATTACHARIYA PARA , SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||