Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01924 | Date 12/11/2018 |
| Token No | SM/19-20/14243 29/11/2019 | Serial | 012 Last Visit: 13/12/2019 |
| Patient Name | Mr. DILIP SAHA | Contact No | 9830651174 |
| Address | 7 CHATRA DUTTA PARA LANE | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||