Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03252 | Date 31/01/2019 |
| Token No | SM/18-19/7672 31/01/2019 | Serial | 046 Last Visit: 11/07/2019 |
| Patient Name | Mr. AKASH KUNDU | Contact No | 8420318127 |
| Address | CHATRA,DHERMA TALA LANE | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||