Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00239 | Date 08/08/2018 |
| Token No | SM/19-20/11392 01/10/2019 | Serial | 010 Last Visit: 07/01/2020 |
| Patient Name | Mr. BASUDEB MALLICK | Contact No | 9748725998 |
| Address | P.N. MUKHERJEE STREET | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||