Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03946 | Date 02/03/2019 |
| Token No | SM/18-19/10187 08/03/2019 | Serial | 078 Last Visit: 20/03/2019 |
| Patient Name | Mr. NIKHIL KUMAR SEN GUPTA | Contact No | 8420633765 |
| Address | CHATRA LAHIRA PARA | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||