Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06725 | Date 22/10/2019 |
| Token No | SM/19-20/12204 22/10/2019 | Serial | 027 Last Visit: 22/10/2019 |
| Patient Name | Mr. ACHINTA CHAKRABORTY | Contact No | 9831829803 |
| Address | 34 P.N MUKHERJEE STREET SERAMPORE CHATRA | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||