Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03404 | Date 06/02/2019 |
| Token No | SM/18-19/8134 06/02/2019 | Serial | 028 Last Visit: 30/09/2019 |
| Patient Name | Mr. SOURAV MONDAL | Contact No | 9748038149 |
| Address | CHATRA GHOSH PARA,FAST LANE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||