Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02824 | Date 04/01/2019 |
| Token No | SM/19-20/18323 18/02/2020 | Serial | 058 Last Visit: 18/02/2020 |
| Patient Name | Mr. DEBANSHU SEKHAR BHADURI | Contact No | 9883334181 |
| Address | 19 LAHIRA PARA LANE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||