Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00286 | Date 09/08/2018 |
| Token No | SM/19-20/3580 28/05/2019 | Serial | 021 Last Visit: 28/05/2019 |
| Patient Name | Mr. ISHAN DUTTA | Contact No | 7686829755 |
| Address | 18, J.M LAHIRI LANE | Age | 18.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||