Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03461 | Date 08/02/2019 |
| Token No | SM/19-20/14157 27/11/2019 | Serial | 066 Last Visit: 27/11/2019 |
| Patient Name | Mr. SWAPAN CHAKRABORTY | Contact No | |
| Address | 2 CHATRA,CHAPATALA LANE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||