Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00177 | Date 06/08/2018 |
| Token No | SM/18-19/7377 24/01/2019 | Serial | 064 Last Visit: 22/02/2019 |
| Patient Name | Mr. KRISHNENDU THAKUR | Contact No | 9874137278 |
| Address | 19, DR, P.N MUKHERJEE ST. | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||