Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01394 | Date 27/09/2018 |
| Token No | SM/19-20/18337 18/02/2020 | Serial | 072 Last Visit: 18/02/2020 |
| Patient Name | Mr. SUSOBAN MALIK | Contact No | 9830497269 |
| Address | 4, BHADURI PARA LANE SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||