Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06687 | Date 18/10/2019 |
| Token No | SM/19-20/12030 18/10/2019 | Serial | 050 Last Visit: 18/10/2019 |
| Patient Name | Mr. SAYAN CHATERJEE | Contact No | 8017230134 |
| Address | 14B CHOWDHURY PARA BYE LANE CHATRA | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||