Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07810 | Date 16/03/2020 |
| Token No | SM/19-20/21803 01/05/2020 | Serial | 009 Last Visit: 23/07/2020 |
| Patient Name | Mr. ALO CHAKRABORTY | Contact No | 9830305569 |
| Address | 24D/C AUDDY LANE SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||