Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03422 | Date 07/02/2019 |
| Token No | SM/18-19/8200 07/02/2019 | Serial | 027 Last Visit: 07/02/2019 |
| Patient Name | Mr. VASKAR GARAI | Contact No | |
| Address | 63 NETAJI SUBHAH EVENEW | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||