Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03171 | Date 25/01/2019 |
| Token No | SM/19-20/20379 27/03/2020 | Serial | 027 Last Visit: 27/03/2020 |
| Patient Name | Mr. TARAK CHATTERJEE | Contact No | 8420740111 |
| Address | 13 DR. P N MUKHERJEE STREEJ | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||