Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02572 | Date 18/12/2018 |
| Token No | SM/19-20/20171 23/03/2020 | Serial | 066 Last Visit: 23/03/2020 |
| Patient Name | Mr. JAYANTA CHATTERJEE | Contact No | 7686951167 |
| Address | 9 P N MUKHERJEE STREET | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||