Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04437 | Date 28/03/2019 |
| Token No | SM/18-19/11418 28/03/2019 | Serial | 020 Last Visit: 25/02/2020 |
| Patient Name | Mr. TAPAS PAUL | Contact No | 9804577082 |
| Address | 51 CHATRA DHARMOTALA SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||