Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01919 | Date 12/11/2018 |
| Token No | SM/19-20/17795 08/02/2020 | Serial | 016 Last Visit: 10/02/2020 |
| Patient Name | Mr. TARAPADA CHOWDHURY | Contact No | |
| Address | CHATRA CHOWDHURY PARA(DOLTALA) | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||