Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07807 | Date 16/03/2020 |
| Token No | SM/19-20/19701 16/03/2020 | Serial | 025 Last Visit: 29/09/2022 |
| Patient Name | Mr. SUKUMAR BARDHAN | Contact No | 6290574240 |
| Address | 57 CHATRA BARUI PARA LANE SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||