Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08388 | Date 19/06/2020 |
| Token No | SM/19-20/23240 19/06/2020 | Serial | 003 Last Visit: 19/06/2020 |
| Patient Name | Mr. SHYAMAL BHATTACHARJEE | Contact No | 7059705107 |
| Address | 38 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||