Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04844 | Date 23/04/2019 |
| Token No | SM/19-20/2287 07/05/2019 | Serial | 068 Last Visit: 30/07/2019 |
| Patient Name | Mr. KALIKRISHNA CHATTOPADHYAY | Contact No | 9051450029 |
| Address | 135 CHATRA BARUI PARA LANE SERAMPORE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||