Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00887 | Date 04/09/2018 |
| Token No | SM/19-20/4276 10/06/2019 | Serial | 058 Last Visit: 18/03/2020 |
| Patient Name | Mr. ASHOK DUTTA | Contact No | 9143898215 |
| Address | 33 DUTTA PARA LANE CHATRA SERAMPORE | Age | 72.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||