Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07572 | Date 18/02/2020 |
| Token No | SM/19-20/21394 21/04/2020 | Serial | 006 Last Visit: 21/04/2020 |
| Patient Name | Mr. RAMEN BARDHAN | Contact No | 6290574240 |
| Address | 57 CHATRA BARUI PARA LANE , SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||