Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05409 | Date 13/06/2019 |
| Token No | SM/19-20/4475 13/06/2019 | Serial | 030 Last Visit: 18/06/2020 |
| Patient Name | Mr. SUBRATA HALDAR | Contact No | 7605818424 |
| Address | 134 CHATRA BARUI PARA LANE SHIB TALA SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 120 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||