Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01095 | Date 13/09/2018 |
| Token No | SM/19-20/595 09/04/2019 | Serial | 049 Last Visit: 09/04/2019 |
| Patient Name | Mr. SUBHASIS SOM | Contact No | 9062113769 |
| Address | 18 BARUI PARA LANE,SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||