Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05466 | Date 18/06/2019 |
| Token No | SM/19-20/4765 18/06/2019 | Serial | 023 Last Visit: 18/06/2019 |
| Patient Name | Mr. ARGHYA CHATERJEE | Contact No | 6289588260 |
| Address | 14 CHOWDHURY PARA BYE LANE CHATRA, SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||