Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05945 | Date 25/07/2019 |
| Token No | SM/19-20/8304 10/08/2019 | Serial | 025 Last Visit: 27/11/2019 |
| Patient Name | Mr. TAPAS CHAKRABORTY | Contact No | 9748538079 |
| Address | KHALISHANI BOSE PARA ANANDAMOYEE TALA CHANDANNAGAR | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||