Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05238 | Date 27/05/2019 |
| Token No | SM/19-20/24112 14/07/2020 | Serial | 015 Last Visit: 14/07/2020 |
| Patient Name | Mr. SUJIT KUMAR PAL | Contact No | 9230591290 |
| Address | 29 DR, P.N MUKHERJEE STREET CHATRA SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||