Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00980 | Date 07/09/2018 |
| Token No | SM/18-19/1352 07/09/2018 | Serial | 024 Last Visit: 07/09/2018 |
| Patient Name | Mr. SUBHANKAR KUNDU | Contact No | 9830553562 |
| Address | 76 A P GHOSH ROAD | Age | 14.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||