Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02591 | Date 19/12/2018 |
| Token No | SM/18-19/10929 20/03/2019 | Serial | 034 Last Visit: 24/06/2019 |
| Patient Name | Mr. KINKOR GHOSH | Contact No | 9681140460 |
| Address | 29, CHAKRABORTY LANE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||