Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03454 | Date 08/02/2019 |
| Token No | SM/19-20/18827 28/02/2020 | Serial | 013 Last Visit: 28/02/2020 |
| Patient Name | Mr. HARADHON SANYAL | Contact No | 26521654 |
| Address | 7A ,DR, G C GOSWAMI PARA STREET SERAMPORE | Age | 77 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||