Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08611 | Date 03/08/2020 |
| Token No | SM/19-20/24662 03/08/2020 | Serial | 005 Last Visit: 03/08/2020 |
| Patient Name | Mr. AMITABHA CHATTOPADHYAY | Contact No | 9903246209 |
| Address | 41 CHAKRABARTY LANE SERAMPORE M | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||