Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07652 | Date 27/02/2020 |
| Token No | SM/19-20/19125 05/03/2020 | Serial | 006 Last Visit: 20/03/2020 |
| Patient Name | Mr. DEBNATH CHOWDHURY | Contact No | 9874964069 |
| Address | 29C CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||