Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04706 | Date 16/04/2019 |
| Token No | SM/19-20/922 16/04/2019 | Serial | 038 Last Visit: 16/04/2019 |
| Patient Name | Mr. KUNAL PARAMANICK | Contact No | 8584999680 |
| Address | 52 CHATRA DUTTA PARA SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||