Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01419 | Date 29/09/2018 |
| Token No | SM/19-20/5103 22/06/2019 | Serial | 064 Last Visit: 22/06/2019 |
| Patient Name | Mr. UJJAL KUMAR CHATERJEE | Contact No | 9903481776 |
| Address | 21 DR. P.N MUKHERJEE STREET | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||