Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03283 | Date 01/02/2019 |
| Token No | SM/18-19/7770 01/02/2019 | Serial | 046 Last Visit: 05/02/2019 |
| Patient Name | Mr. PANCHU SAHA | Contact No | 9143643199 |
| Address | SIMLA KALITALA,UTTAR MANDAL PARA | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||