Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06696 | Date 19/10/2019 |
| Token No | SM/19-20/12078 19/10/2019 | Serial | 027 Last Visit: 19/10/2019 |
| Patient Name | Mr. RAGHUNATH DUTTA | Contact No | 8420883382 |
| Address | 133/4 CHATRA SHITLATALA , BAIDYABATI(M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||