Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02016 | Date 16/11/2018 |
| Token No | SM/18-19/3827 16/11/2018 | Serial | 060 Last Visit: 11/08/2021 |
| Patient Name | Mr. SHYMAL INDRA | Contact No | 9674474286 |
| Address | SHEORAPHULY,NISTARINI KALI BARI | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||