Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05170 | Date 21/05/2019 |
| Token No | SM/19-20/20743 04/04/2020 | Serial | 024 Last Visit: 12/06/2020 |
| Patient Name | Mr. CHANDRANATH KARMOKAR | Contact No | 9830108399 |
| Address | 59/A CHATRA BARUI PARA SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||