Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03084 | Date 19/01/2019 |
| Token No | SM/18-19/9247 22/02/2019 | Serial | 024 Last Visit: 30/05/2019 |
| Patient Name | Mr. SUBIR CHOWDHURY | Contact No | 8420919579 |
| Address | 10 CHATRA CHOWDHURY PARA BY LANE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||