Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02106 | Date 24/11/2018 |
| Token No | SM/18-19/4568 03/12/2018 | Serial | 034 Last Visit: 24/01/2020 |
| Patient Name | Mr. NABO KR BARIK | Contact No | 9051384688 |
| Address | CHATRA LANKAR BAGAN, BAIDYABATI (M) | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||