Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07563 | Date 17/02/2020 |
| Token No | SM/19-20/18338 18/02/2020 | Serial | 073 Last Visit: 19/02/2020 |
| Patient Name | Mr. NARAYAN CHANDRA DAS | Contact No | 6290322349 |
| Address | 14A DHARMATALA BYE LANE CHATRA SERAMPORE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||