Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06266 | Date 29/08/2019 |
| Token No | SM/20-21/28993 05/01/2021 | Serial | 009 Last Visit: 08/01/2021 |
| Patient Name | Mr. SUBHANAR CHATTERJEE | Contact No | 9163804084 |
| Address | 18 CHATRA CHOWDHURI PARA LANE | Age | 29 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||