Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04090 | Date 08/03/2019 |
| Token No | SM/18-19/10167 08/03/2019 | Serial | 058 Last Visit: 12/12/2019 |
| Patient Name | Mr. KOUSATB KUNDU | Contact No | 9051954700 |
| Address | 14/D CHATRA DUTTA PARA LANE | Age | 32 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||