Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07222 | Date 24/12/2019 |
| Token No | SM/19-20/15835 24/12/2019 | Serial | 028 Last Visit: 24/12/2019 |
| Patient Name | Mr. SANTOSH KUMAR SADHUKHAN | Contact No | 9051072362 |
| Address | 105 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||