Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01477 | Date 03/10/2018 |
| Token No | SM/18-19/3955 20/11/2018 | Serial | 033 Last Visit: 05/03/2019 |
| Patient Name | Mr. ANUP KR. MUKHERJEE | Contact No | 9830177321 |
| Address | 1/B SUDIP CH. ROY LANE | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||