Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04142 | Date 11/03/2019 |
| Token No | SM/18-19/10307 11/03/2019 | Serial | 016 Last Visit: 11/03/2019 |
| Patient Name | Mr. AKASH DAS | Contact No | 6291059944 |
| Address | CHARA BAGAN BARUI PARA , BAIDYABATI(M) | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||