Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01872 | Date 02/11/2018 |
| Token No | SM/18-19/3387 02/11/2018 | Serial | 071 Last Visit: 08/02/2020 |
| Patient Name | Mr. SUJIT SANYAL | Contact No | 9903110692 |
| Address | 6/B CHATRA LAHIRI PARA LANE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||