Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02866 | Date 07/01/2019 |
| Token No | SM/19-20/11301 30/09/2019 | Serial | 026 Last Visit: 14/11/2019 |
| Patient Name | Mr. SIDDHARTHA DEY | Contact No | 9933565102 |
| Address | 1 CHATRA MUKHERJEE PARA | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||