Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01262 | Date 22/09/2018 |
| Token No | SM/19-20/13082 13/11/2019 | Serial | 009 Last Visit: 29/04/2020 |
| Patient Name | Mr. SANTI NATH CHATTAERJEE | Contact No | 9163484336 |
| Address | CHAKRABORTY PARA BY LANE | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||