Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03397 | Date 06/02/2019 |
| Token No | SM/18-19/8114 06/02/2019 | Serial | 008 Last Visit: 06/02/2019 |
| Patient Name | Mr. SOMNATH KUNDU | Contact No | 8420318127 |
| Address | CHATRA DHARMATALA LANE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||