Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02498 | Date 13/12/2018 |
| Token No | SM/18-19/5159 13/12/2018 | Serial | 006 Last Visit: 13/12/2018 |
| Patient Name | Mr. BIPLAB DUTTA | Contact No | 9143898215 |
| Address | CHATRA DUTTA PARA | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 96 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||