Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00879 | Date 01/09/2018 |
| Token No | SM/18-19/1149 01/09/2018 | Serial | 023 Last Visit: 01/09/2018 |
| Patient Name | Mr. AMER NATH MAITI | Contact No | 9874945349 |
| Address | 6/2VIVEKANENDA LANE | Age | 70.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||