Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03385 | Date 05/02/2019 |
| Token No | SM/18-19/8057 05/02/2019 | Serial | 048 Last Visit: 05/02/2019 |
| Patient Name | Mr. SOURODEEP MANNA | Contact No | 9382563161 |
| Address | 4 CHOWDHURI PARA | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||