Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06534 | Date 25/09/2019 |
| Token No | SM/19-20/11071 25/09/2019 | Serial | 013 Last Visit: 15/09/2020 |
| Patient Name | Mr. AHIRCHAND CHOWDHURY | Contact No | |
| Address | 24 CHATRA,CHOWDHURY PARABYE LANE | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 148/90 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||