Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03513 | Date 12/02/2019 |
| Token No | SM/19-20/19199 06/03/2020 | Serial | 024 Last Visit: 06/03/2020 |
| Patient Name | Mr. AVIK CHAKRABORTY | Contact No | 9088886692 |
| Address | 8/2 CHAPA TALA LANE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||