Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00695 | Date 25/08/2018 |
| Token No | SM/19-20/5737 02/07/2019 | Serial | 027 Last Visit: 02/07/2019 |
| Patient Name | Mr. SOUMYAKANTI DAS | Contact No | 8820342310 |
| Address | 6,DR P. N. MUKHERJEE STREET | Age | 42.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||