Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07423 | Date 27/01/2020 |
| Token No | SM/19-20/18180 17/02/2020 | Serial | 004 Last Visit: 17/02/2020 |
| Patient Name | Mr. ABHAY KUMAR SAMANTA | Contact No | 8479052484 |
| Address | 20 D.N MUKHERJEE ROAD CHATRA , BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||