Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07427 | Date 27/01/2020 |
| Token No | SM/19-20/17262 27/01/2020 | Serial | 057 Last Visit: 01/10/2020 |
| Patient Name | Mr. SAILENDRA NATH HAZRA | Contact No | 9831397855 |
| Address | 6 CHAKRABORTY LANE SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||