Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03049 | Date 17/01/2019 |
| Token No | SM/18-19/7286 22/01/2019 | Serial | 057 Last Visit: 22/01/2019 |
| Patient Name | Mr. KALI SEKHAR DUTTA | Contact No | 9433057965 |
| Address | CHATRA DUTT\\\'S LANE | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 83 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||