Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01832 | Date 01/11/2018 |
| Token No | SM/18-19/3286 01/11/2018 | Serial | 035 Last Visit: 31/03/2020 |
| Patient Name | Mr. SUROJIT BOSE | Contact No | 7980549641 |
| Address | 18 G RAJA K.L GOSWAMI STREET | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||