Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07071 | Date 04/12/2019 |
| Token No | SM/19-20/15202 13/12/2019 | Serial | 038 Last Visit: 07/01/2022 |
| Patient Name | Mr. JAGADISH BISWAS | Contact No | 9062375052 |
| Address | 8 CHATRA BAJAR ROAD SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||