Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00372 | Date 11/08/2018 |
| Token No | SM/18-19/406 11/08/2018 | Serial | 038 Last Visit: 11/08/2018 |
| Patient Name | Mr. SUKRAJ CHAKRABORTY | Contact No | 8327338041 |
| Address | KATWA | Age | 22.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||