Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05515 | Date 22/06/2019 |
| Token No | SM/19-20/5046 22/06/2019 | Serial | 007 Last Visit: 22/06/2019 |
| Patient Name | Mr. CHINMOY PODDAR | Contact No | 7449345279 |
| Address | 46/1 SATCHASI PARA,BAIDYABATI(M) | Age | 44 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||