Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03093 | Date 19/01/2019 |
| Token No | SM/18-19/7106 19/01/2019 | Serial | 039 Last Visit: 12/06/2019 |
| Patient Name | Mr. SUBHOJIT MITRA | Contact No | 9830525593 |
| Address | 32 BHADURI LANE CHATRA SERAMPORE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||