Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05344 | Date 06/06/2019 |
| Token No | SM/19-20/4066 06/06/2019 | Serial | 042 Last Visit: 06/06/2019 |
| Patient Name | Mr. AMIT DUTTA | Contact No | 9748958121 |
| Address | 93/A CHATRA BARUI PARA /LANE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||