Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00642 | Date 23/08/2018 |
| Token No | SM/19-20/3443 25/05/2019 | Serial | 069 Last Visit: 27/02/2021 |
| Patient Name | Mr. SUSHANTA GANGULI | Contact No | 6289388823 |
| Address | 3E DUTTA PARA LANE , CHATRA SERAMPORE | Age | 56.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||