Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04124 | Date 09/03/2019 |
| Token No | SM/18-19/10264 09/03/2019 | Serial | 055 Last Visit: 09/03/2019 |
| Patient Name | Mr. KAMAL RANA | Contact No | 9038367424 |
| Address | HINDUSTAN COLLNEY PURBA PARA , SHAYAMNAGAR(M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||