Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02744 | Date 29/12/2018 |
| Token No | SM/18-19/5997 29/12/2018 | Serial | 052 Last Visit: 29/12/2018 |
| Patient Name | Mr. AMAL HALDAR | Contact No | 9886198722 |
| Address | RAGHUNATHPUR | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||