Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02542 | Date 15/12/2018 |
| Token No | SM/18-19/5277 15/12/2018 | Serial | 009 Last Visit: 12/02/2019 |
| Patient Name | Mr. SK SAHIDUL | Contact No | 7001016038 |
| Address | P N MUKHERJEE STREET | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||