Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02850 | Date 07/01/2019 |
| Token No | SM/18-19/8466 12/02/2019 | Serial | 070 Last Visit: 05/03/2019 |
| Patient Name | Mr. BIKASH BHUIYA | Contact No | 7003696201 |
| Address | SCM ROAD SHEWRAPHULI , BAIDYABATI(M) | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||