Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00382 | Date 13/08/2018 |
| Token No | SM/18-19/749 21/08/2018 | Serial | 047 Last Visit: 10/01/2019 |
| Patient Name | Mr. BISWAJIT PAL | Contact No | 9007666856 |
| Address | 14, BARUIPARA LANE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||