Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04474 | Date 30/03/2019 |
| Token No | SM/19-20/17666 05/02/2020 | Serial | 042 Last Visit: 05/02/2020 |
| Patient Name | Mr. SRIKANTA CHOWDHURY | Contact No | 8013933382 |
| Address | BARO BELUR MAKAL TALA SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||