Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05478 | Date 18/06/2019 |
| Token No | SM/19-20/4825 18/06/2019 | Serial | 083 Last Visit: 18/06/2019 |
| Patient Name | Mr. DINABANDHU BANERJEE | Contact No | 8337090555 |
| Address | 27B DR P.N MUKHERJEE STREET SERAMPORE | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||