Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03636 | Date 18/02/2019 |
| Token No | SM/18-19/8868 18/02/2019 | Serial | 041 Last Visit: 18/02/2019 |
| Patient Name | Mr. SHYAMAL KUMAR DEY | Contact No | 8017801899 |
| Address | 8 AUDDY LANE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||