Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05968 | Date 26/07/2019 |
| Token No | SM/19-20/12798 06/11/2019 | Serial | 051 Last Visit: 06/11/2019 |
| Patient Name | Mr. SANAT CHATTERJEE | Contact No | 9609497406 |
| Address | 43 (21) RAMKRISHNA BYE LANE CHATRA , BAIDYABATI(M) | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||