Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05591 | Date 27/06/2019 |
| Token No | SM/19-20/5443 27/06/2019 | Serial | 026 Last Visit: 27/06/2019 |
| Patient Name | Mr. TAPAN CHATERJEE | Contact No | 9051648151 |
| Address | 14 B CHOWDHURY PARA BYE LANE CHATRA SERAMPORE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||