Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06674 | Date 17/10/2019 |
| Token No | SM/19-20/12308 23/10/2019 | Serial | 046 Last Visit: 23/10/2019 |
| Patient Name | Mr. JAWAHIR CHOWDHURY | Contact No | |
| Address | 4 DR BAGAN LANE, SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||