Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06876 | Date 15/11/2019 |
| Token No | SM/19-20/15577 19/12/2019 | Serial | 006 Last Visit: 02/05/2020 |
| Patient Name | Mr. SANJAY DEY | Contact No | 9088931242 |
| Address | 20/G/1 D N B SARANI PRAVASNAGAR , SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||