Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04266 | Date 16/03/2019 |
| Token No | SM/18-19/10701 16/03/2019 | Serial | 083 Last Visit: 16/03/2019 |
| Patient Name | Mr. TARAK SARDAR | Contact No | 9123918886 |
| Address | BARO MAKAL TALA | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||