Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04414 | Date 27/03/2019 |
| Token No | SM/18-19/11309 27/03/2019 | Serial | 013 Last Visit: 27/03/2019 |
| Patient Name | Mr. DEBABRATA DAS | Contact No | 7585998037 |
| Address | 9/A CHAPA TALA LANE SERAMPORE | Age | 34 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||