Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04863 | Date 23/04/2019 |
| Token No | SM/19-20/1489 23/04/2019 | Serial | 070 Last Visit: 23/04/2019 |
| Patient Name | Mr. SUBHAMAY MUKHERJEE | Contact No | 9123818248 |
| Address | 37, A.P GHOSH ROAD SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||