Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03319 | Date 02/02/2019 |
| Token No | SM/18-19/7869 02/02/2019 | Serial | 058 Last Visit: 02/02/2019 |
| Patient Name | Mr. TAPAN DEY | Contact No | |
| Address | THAKUR BARI STREET, | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||