Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00883 | Date 01/09/2018 |
| Token No | SM/19-20/1272 20/04/2019 | Serial | 093 Last Visit: 20/04/2020 |
| Patient Name | Mr. DILIP BENERJEE | Contact No | 8420615346 |
| Address | 56 DUTTA PARA LANE CHATRA SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||