Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06869 | Date 15/11/2019 |
| Token No | SM/19-20/13283 15/11/2019 | Serial | 016 Last Visit: 15/11/2019 |
| Patient Name | Mr. SOURAB BHATTCHARYA | Contact No | 9239752139 |
| Address | 18 A.K DUTTA SARANI CHATRA SERAMPORE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||