Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03757 | Date 21/02/2019 |
| Token No | SM/18-19/9170 21/02/2019 | Serial | 032 Last Visit: 05/10/2020 |
| Patient Name | Mr. SAIBAL DATTA | Contact No | 9051355591 |
| Address | 10/A CHATRA DUTTA PARA | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/88 mmHg | Weight | 93 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||