Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04024 | Date 06/03/2019 |
| Token No | SM/18-19/9935 06/03/2019 | Serial | 025 Last Visit: 06/03/2019 |
| Patient Name | Mr. KUSHIK CHAKRABORTY | Contact No | 8777814615 |
| Address | 4 CHOWDHURI PARA LANE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||