Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03745 | Date 21/02/2019 |
| Token No | SM/18-19/9141 21/02/2019 | Serial | 003 Last Visit: 21/02/2019 |
| Patient Name | Mr. DEBASIS BENERJEE | Contact No | 9830934801 |
| Address | 9 CHATRA CHOWDHURI PARA | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 96 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||