Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04623 | Date 08/04/2019 |
| Token No | SM/19-20/517 08/04/2019 | Serial | 081 Last Visit: 08/04/2019 |
| Patient Name | Mr. AVISEK BISWAS | Contact No | 9681487885 |
| Address | CHATRA LANKER BAGAN,BAIDYABATI(M) | Age | 27YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||