Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03306 | Date 02/02/2019 |
| Token No | SM/18-19/7821 02/02/2019 | Serial | 010 Last Visit: 02/02/2019 |
| Patient Name | Mr. KALYAN MUKHERJEE | Contact No | 9007531733 |
| Address | BAG BARI,BORA | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||