Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02852 | Date 07/01/2019 |
| Token No | SM/19-20/18226 17/02/2020 | Serial | 050 Last Visit: 17/02/2020 |
| Patient Name | Mr. BHOLANATH CHAKRABORTY | Contact No | 8017789968 |
| Address | 76 N C CHAKRABORTY LANE, BAIDYABATI(M) | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||