Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03201 | Date 29/01/2019 |
| Token No | SM/18-19/7508 29/01/2019 | Serial | 001 Last Visit: 29/01/2019 |
| Patient Name | Mr. RAJKUMAR CHATERJEE | Contact No | 9088379388 |
| Address | 18, CHATRA CHOWDHURY PARA | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||