Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06588 | Date 30/09/2019 |
| Token No | SM/19-20/11413 01/10/2019 | Serial | 031 Last Visit: 01/10/2019 |
| Patient Name | Mr. ARIJIT KUMAR PAUL | Contact No | 6290995158 |
| Address | 51 DHARMATALA LANE | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||