Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02878 | Date 07/01/2019 |
| Token No | SM/18-19/6423 07/01/2019 | Serial | 077 Last Visit: 07/01/2019 |
| Patient Name | Mr. DAUD ALI MALLICK | Contact No | 9674430104 |
| Address | DANKUNI | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||