Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04146 | Date 11/03/2019 |
| Token No | SM/18-19/10324 11/03/2019 | Serial | 033 Last Visit: 11/03/2019 |
| Patient Name | Mr. KIRAN PATRA | Contact No | |
| Address | CHATRA MANNA PARA SERAMPORE | Age | 32 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||