Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02302 | Date 03/12/2018 |
| Token No | SM/18-19/4577 03/12/2018 | Serial | 043 Last Visit: 03/12/2018 |
| Patient Name | Mr. ARPAN SOM | Contact No | |
| Address | GURUDAS BHATTERJEE LANE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||