Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00580 | Date 20/08/2018 |
| Token No | SM/18-19/11220 26/03/2019 | Serial | 013 Last Visit: 01/06/2019 |
| Patient Name | Mr. TAPAN KUMAR CHOWDHURY | Contact No | 26528691 |
| Address | 10/C ROY M.C LAHIRI STREET | Age | 60.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||