Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05326 | Date 03/06/2019 |
| Token No | SM/19-20/3928 03/06/2019 | Serial | 051 Last Visit: 22/07/2019 |
| Patient Name | Mr. ANIRBAN BISWAS | Contact No | 8910090984 |
| Address | 4 CHOWDHURY PARA BYE LANE SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||