Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03476 | Date 08/02/2019 |
| Token No | SM/18-19/8355 08/02/2019 | Serial | 081 Last Visit: 08/02/2019 |
| Patient Name | Mr. SOURAV DAS | Contact No | 9038485220 |
| Address | 65 BHATTCHARJEE PARA | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||