Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01945 | Date 14/11/2018 |
| Token No | SM/19-20/19783 17/03/2020 | Serial | 042 Last Visit: 10/12/2020 |
| Patient Name | Mr. CHANCHAL CHATTOPADHYAY | Contact No | 9432244377 |
| Address | 21 B/1 CHATRA CHOWDHURY PARA LANE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||