Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06658 | Date 16/10/2019 |
| Token No | SM/19-20/15789 23/12/2019 | Serial | 039 Last Visit: 02/03/2020 |
| Patient Name | Mr. DEBKUMAR CHATTERJEE | Contact No | |
| Address | 18 CHOWDHURY PARA LANE SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||