Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01045 | Date 11/09/2018 |
| Token No | SM/18-19/6679 11/01/2019 | Serial | 036 Last Visit: 11/01/2019 |
| Patient Name | Mr. DHIREN SARKAR | Contact No | |
| Address | SAN PUKUR | Age | 70.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||