Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07444 | Date 28/01/2020 |
| Token No | SM/19-20/17520 03/02/2020 | Serial | 050 Last Visit: 27/01/2022 |
| Patient Name | Mr. BHOLA NATH DHARA | Contact No | 9230277547 |
| Address | 121 D N MUKHERJEE ROAD SERAMPORE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||