Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08307 | Date 04/06/2020 |
| Token No | SM/19-20/22755 04/06/2020 | Serial | 040 Last Visit: 10/06/2020 |
| Patient Name | Mr. TARUN CHAKRABORTY | Contact No | 9331399684 |
| Address | 41 K.M. BHATTACHARYA STREET, SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||