Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02735 | Date 29/12/2018 |
| Token No | SM/18-19/5967 29/12/2018 | Serial | 022 Last Visit: 29/12/2018 |
| Patient Name | Mr. SANAT NAG | Contact No | 8017093407 |
| Address | 54 A.P GHOSH ROAD | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||