Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04730 | Date 17/04/2019 |
| Token No | SM/19-20/1018 17/04/2019 | Serial | 025 Last Visit: 17/04/2019 |
| Patient Name | Mr. DEBASISH DUTTA | Contact No | 9239542350 |
| Address | 131/B BARUI PARA LANE SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||