Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01572 | Date 09/10/2018 |
| Token No | SM/19-20/6592 16/07/2019 | Serial | 040 Last Visit: 27/07/2021 |
| Patient Name | Mr. RAMANATH BHATTACHARYA | Contact No | 9239263839 |
| Address | 69A/1 BARO BAGAN SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||