Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07049 | Date 03/12/2019 |
| Token No | SM/19-20/14523 03/12/2019 | Serial | 006 Last Visit: 03/12/2019 |
| Patient Name | Mr. SOMNATH BASU | Contact No | 9836059524 |
| Address | 16 CHATRA BAZAR ROAD SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||