Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04468 | Date 29/03/2019 |
| Token No | SM/18-19/11574 29/03/2019 | Serial | 082 Last Visit: 29/03/2019 |
| Patient Name | Mr. SUBHANKAR PARUI | Contact No | 9748025666 |
| Address | CHATRA LANKAR BAGAN , BAIDYABATI (M) | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||