Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03542 | Date 13/02/2019 |
| Token No | SM/19-20/167 03/04/2019 | Serial | 022 Last Visit: 03/04/2019 |
| Patient Name | Mr. KAMALASH DAS | Contact No | 9830294225 |
| Address | 7A/1 CHATRA DUTTA PARA LANE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||