Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02154 | Date 27/11/2018 |
| Token No | SM/19-20/9728 03/09/2019 | Serial | 039 Last Visit: 13/04/2020 |
| Patient Name | Mr. TAPAN ROY | Contact No | 7278056813 |
| Address | CHATRA GHOSH PARA | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||