Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03161 | Date 24/01/2019 |
| Token No | SM/18-19/7371 24/01/2019 | Serial | 058 Last Visit: 24/01/2019 |
| Patient Name | Mr. BISWAJIT SARKAR | Contact No | 8697585461 |
| Address | CHATRA DAS PARA, BAIDYABATI (M) | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||