Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06089 | Date 08/08/2019 |
| Token No | SM/19-20/19903 19/03/2020 | Serial | 006 Last Visit: 19/03/2020 |
| Patient Name | Mr. PRODIP MAJUMDAR | Contact No | 9804297845 |
| Address | 170,NETAJI SUBHASH AVINUE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||