Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06220 | Date 26/08/2019 |
| Token No | SM/19-20/14218 28/11/2019 | Serial | 035 Last Visit: 03/12/2021 |
| Patient Name | Mr. ASHOKE CHAKRABORTY | Contact No | 8444095021 |
| Address | 51 K.M BHATTACHARJEE STREET SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||