Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00877 | Date 01/09/2018 |
| Token No | SM/18-19/1470 10/09/2018 | Serial | 058 Last Visit: 08/06/2019 |
| Patient Name | Mr. SUBHAJIT PAUL | Contact No | 8170875662 |
| Address | CHATRA CHOWDHURI PARA | Age | 21.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||