Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03465 | Date 08/02/2019 |
| Token No | SM/18-19/8319 08/02/2019 | Serial | 045 Last Visit: 19/02/2019 |
| Patient Name | Mr. SUMAN BHADRA | Contact No | 9883479900 |
| Address | CHATRA LANKER BAGAN,BAIDYABATI(M) | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||