Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07648 | Date 27/02/2020 |
| Token No | SM/19-20/18760 27/02/2020 | Serial | 048 Last Visit: 15/04/2020 |
| Patient Name | Mr. RABINDRANATH GHOSH | Contact No | 8013155246 |
| Address | 4A VIVEKANAND LANE SERAMPORE | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||