Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07316 | Date 10/01/2020 |
| Token No | SM/19-20/19851 18/03/2020 | Serial | 025 Last Visit: 18/03/2020 |
| Patient Name | Mr. UTTAPAL CHAKRABORTY | Contact No | 9830305569 |
| Address | 8 AUDDY LANE SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||