Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06101 | Date 09/08/2019 |
| Token No | SM/19-20/8273 09/08/2019 | Serial | 080 Last Visit: 09/08/2019 |
| Patient Name | Mr. RAJESH KHAN | Contact No | 7278497590 |
| Address | 47/A SATCHASI PARA , BAIDYABATI(M) | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||