Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02301 | Date 03/12/2018 |
| Token No | SM/18-19/4575 03/12/2018 | Serial | 041 Last Visit: 08/12/2018 |
| Patient Name | Mr. SITAL CH. CHATTERJEE | Contact No | |
| Address | CHATRA CHOWDHURY BY LANE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||