Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04368 | Date 25/03/2019 |
| Token No | SM/18-19/11141 25/03/2019 | Serial | 061 Last Visit: 25/03/2019 |
| Patient Name | Mr. KRISHNENDU PRAMANIK | Contact No | 7890616167 |
| Address | DIARA PAHALAM PUR | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||