Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05104 | Date 14/05/2019 |
| Token No | SM/19-20/3953 03/06/2019 | Serial | 076 Last Visit: 04/06/2019 |
| Patient Name | Mr. HARICHARAN DUTTA | Contact No | 9433933423 |
| Address | 10E MC ROY BAHDUR STREET SERAMPORE | Age | 80 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||