Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05706 | Date 10/07/2019 |
| Token No | SM/19-20/6134 10/07/2019 | Serial | 002 Last Visit: 10/07/2019 |
| Patient Name | Mr. SUBHAS CHANDRA BENERJEE | Contact No | 9748381588 |
| Address | 21 DHARMATALA LANE,CHATRA | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||