Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01013 | Date 10/09/2018 |
| Token No | SM/18-19/1953 24/09/2018 | Serial | 012 Last Visit: 25/02/2019 |
| Patient Name | Mr. MRINAL KANTI SARKAR | Contact No | 8697159355 |
| Address | 37/F CHATRA DHARMOTALA LANE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||