Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05253 | Date 27/05/2019 |
| Token No | SM/19-20/3507 27/05/2019 | Serial | 063 Last Visit: 27/05/2019 |
| Patient Name | Mr. TAPAN CHATERJEE | Contact No | 8420614950 |
| Address | 63 THAKURBATI STREET SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||