Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05892 | Date 22/07/2019 |
| Token No | SM/19-20/7046 22/07/2019 | Serial | 064 Last Visit: 22/07/2019 |
| Patient Name | Mr. SUBHAL DAS | Contact No | 8276963309 |
| Address | 14A LAHIRA PARA SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||