Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04527 | Date 03/04/2019 |
| Token No | SM/19-20/7776 02/08/2019 | Serial | 008 Last Visit: 02/08/2019 |
| Patient Name | Mr. BILAS CHAKRABORTY | Contact No | 9748754439 |
| Address | 164/2 R.K ROAD CHATRA SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||