Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06549 | Date 26/09/2019 |
| Token No | SM/19-20/11154 26/09/2019 | Serial | 038 Last Visit: 26/09/2019 |
| Patient Name | Mr. DEBOPAM HALDER | Contact No | 9674513499 |
| Address | P. N. MUKHERJEE STREET | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||