Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08222 | Date 05/05/2020 |
| Token No | SM/19-20/21953 05/05/2020 | Serial | 034 Last Visit: 05/05/2020 |
| Patient Name | Mr. PROBIR KUMER CHOWDHURY | Contact No | |
| Address | 65 A. P. GHOSH ROAD | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||