Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01363 | Date 26/09/2018 |
| Token No | SM/18-19/2400 03/10/2018 | Serial | 055 Last Visit: 03/10/2018 |
| Patient Name | Mr. SOMA DEB NATH | Contact No | 9674979392 |
| Address | RAJAYDHARPUR | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||