Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07532 | Date 13/02/2020 |
| Token No | SM/19-20/18145 15/02/2020 | Serial | 044 Last Visit: 20/03/2020 |
| Patient Name | Mr. SANTINATH BANERJEE | Contact No | 9836702389 |
| Address | 13 CHATRA DUTTAS LANE SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||