Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01244 | Date 20/09/2018 |
| Token No | SM/18-19/7488 25/01/2019 | Serial | 078 Last Visit: 25/01/2019 |
| Patient Name | Mr. RANIT DEY | Contact No | 9062253439 |
| Address | 49TETUL TALA,,MUKHARJEE PARA | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||