Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07037 | Date 02/12/2019 |
| Token No | SM/19-20/14878 07/12/2019 | Serial | 045 Last Visit: 07/12/2019 |
| Patient Name | Mr. CHANDRA SEKHAR DAS | Contact No | 9331706955 |
| Address | 3M CHATRA DUTTA PARA LANE SERAMPORE HOOGHLY | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||