Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08541 | Date 14/07/2020 |
| Token No | SM/19-20/24108 14/07/2020 | Serial | 011 Last Visit: 14/07/2020 |
| Patient Name | Mr. DIPAK BHATTACHARYYA | Contact No | 9836788770 |
| Address | 3 UPPER STAND ROAD SERAMPORE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||