Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02109 | Date 24/11/2018 |
| Token No | SM/18-19/4097 24/11/2018 | Serial | 027 Last Visit: 24/11/2018 |
| Patient Name | Mr. BHASKAR CHAKRABORTY | Contact No | 9874932621 |
| Address | PRABHASH NAGAR | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||