Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02677 | Date 24/12/2018 |
| Token No | SM/18-19/5726 24/12/2018 | Serial | 049 Last Visit: 28/12/2018 |
| Patient Name | Mr. SUJIT GHOSH | Contact No | |
| Address | CHATRA GHOSH PARA | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||