Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02801 | Date 03/01/2019 |
| Token No | SM/20-21/30767 16/03/2021 | Serial | 005 Last Visit: 16/03/2021 |
| Patient Name | Mr. ABHIMANU CHOWDHURY | Contact No | 6290454848 |
| Address | 14/17 KONNAGAR MUKHERJEE BAGAN,KONNAGAR(M) | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||