Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03499 | Date 12/02/2019 |
| Token No | SM/19-20/5359 26/06/2019 | Serial | 023 Last Visit: 11/11/2019 |
| Patient Name | Mr. BISWANATH PAUL | Contact No | 9831599305 |
| Address | 48 A.P GHOSH ROAD CHATRA SERAMPORE HOOGHLY | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||