Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00326 | Date 10/08/2018 |
| Token No | SM/18-19/352 10/08/2018 | Serial | 040 Last Visit: 10/08/2018 |
| Patient Name | Mr. SAMARJIT | Contact No | |
| Address | BAIDYABATI | Age | 35.0 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||