Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05381 | Date 11/06/2019 |
| Token No | SM/19-20/4335 11/06/2019 | Serial | 011 Last Visit: 11/06/2019 |
| Patient Name | Mr. ARIJIT DUTTA | Contact No | 7003208475 |
| Address | 130 CHATRA BARUI PARA LANE SERAMPORE | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||