Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03464 | Date 08/02/2019 |
| Token No | SM/18-19/8314 08/02/2019 | Serial | 040 Last Visit: 08/02/2019 |
| Patient Name | Mr. SANKER ADHIKARY | Contact No | 9007411284 |
| Address | 13/2 CHATRA ,CHOWDHURI PARA LANE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||