Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06307 | Date 02/09/2019 |
| Token No | SM/19-20/9636 02/09/2019 | Serial | 031 Last Visit: 02/09/2019 |
| Patient Name | Mr. MANAB DAS | Contact No | 9433988181 |
| Address | 15 P.N CHAKRABORTY LANE SERAMPORE | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||