Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07048 | Date 02/12/2019 |
| Token No | SM/19-20/15047 11/12/2019 | Serial | 026 Last Visit: 11/12/2019 |
| Patient Name | Mr. REETA PAANTHA GHOSE | Contact No | 7059072134 |
| Address | 17 (14) DAKSHIN BHATTACHARYA PARA , BAIDYABATI(M) | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||