Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01518 | Date 05/10/2018 |
| Token No | SM/18-19/2486 05/10/2018 | Serial | 007 Last Visit: 05/10/2018 |
| Patient Name | Mr. JOYTIRMOY DUTTA | Contact No | |
| Address | 43 A P GHOSH ROAD | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||