Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04662 | Date 10/04/2019 |
| Token No | SM/19-20/687 10/04/2019 | Serial | 053 Last Visit: 30/07/2019 |
| Patient Name | Mr. BANKIM MARIK | Contact No | 9804299453 |
| Address | 46 DUTTA PARA LANE CHATAR , SERAMPORE(M) | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||