Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05985 | Date 29/07/2019 |
| Token No | SM/19-20/22997 12/06/2020 | Serial | 003 Last Visit: 21/06/2021 |
| Patient Name | Mr. TARUN CHANDRA | Contact No | 8017245197 |
| Address | 61 N.N RAY STREET SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||