Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02062 | Date 20/11/2018 |
| Token No | SM/18-19/3984 20/11/2018 | Serial | 062 Last Visit: 27/12/2018 |
| Patient Name | Mr. ARNAB DEY | Contact No | 7687084613 |
| Address | 175 NEHRU NAGAR MAHESH | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||