Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08434 | Date 26/06/2020 |
| Token No | SM/19-20/23656 02/07/2020 | Serial | 065 Last Visit: 09/07/2020 |
| Patient Name | Mr. BISWANATH BHATTACHAYRA | Contact No | 9143080313 |
| Address | 354/1 MAHESH COLONY SERAMPORE MAHESH | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||