Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03854 | Date 25/02/2019 |
| Token No | SM/18-19/9419 25/02/2019 | Serial | 026 Last Visit: 14/09/2019 |
| Patient Name | Mr. GORACHAND BENERJEE | Contact No | 8334928461 |
| Address | 9 CHATRA CHOWDHURI PARA | Age | 78 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||