Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06388 | Date 12/09/2019 |
| Token No | SM/19-20/10255 12/09/2019 | Serial | 073 Last Visit: 13/09/2019 |
| Patient Name | Mr. SANATAN SAMANTA | Contact No | 8697156425 |
| Address | 4/1(8) SATCHASI PARA , CHATRA SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||