Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03513 | Date 12/02/2019 |
| Token No | SM/18-19/8481 12/02/2019 | Serial | 085 Last Visit: 06/03/2020 |
| Patient Name | Mr. AVIK CHAKRABORTY | Contact No | 9088886692 |
| Address | 8/2 CHAPA TALA LANE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||