Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05371 | Date 10/06/2019 |
| Token No | SM/19-20/4283 10/06/2019 | Serial | 065 Last Visit: 10/06/2019 |
| Patient Name | Mr. SUMANTRA CHATTERJEE | Contact No | 9674491297 |
| Address | 11 JAGA MOHAN LAHIRI LANE CHATRA SERAMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||