Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09014 | Date 01/12/2020 |
| Token No | SM/20-21/27972 01/12/2020 | Serial | 074 Last Visit: 01/12/2020 |
| Patient Name | Mr. PRITAM CHATTERJEE | Contact No | 9874679875 |
| Address | 18 NO CHATRA CHOWDHURY PARA LANE SERAMPORE CHATRA SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||