Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04375 | Date 25/03/2019 |
| Token No | SM/19-20/4497 13/06/2019 | Serial | 052 Last Visit: 29/08/2019 |
| Patient Name | Mr. BISWANATH CHATERJEE | Contact No | 7059532951 |
| Address | 120, N.S AVENUE SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||