Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02439 | Date 10/12/2018 |
| Token No | SM/18-19/4974 10/12/2018 | Serial | 022 Last Visit: 10/12/2018 |
| Patient Name | Mr. DEBAPAM BHATTACHARYA | Contact No | 9883357709 |
| Address | CHATRA GHOSH PARA | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||