Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03763 | Date 21/02/2019 |
| Token No | SM/18-19/9184 21/02/2019 | Serial | 046 Last Visit: 21/02/2019 |
| Patient Name | Mr. ANIL KUMAR MUKHERJEE | Contact No | 7686975221 |
| Address | 5 CHOWDHURY PARA CHATRA | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||