Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03741 | Date 20/02/2019 |
| Token No | SM/18-19/9133 20/02/2019 | Serial | 071 Last Visit: 20/02/2019 |
| Patient Name | Mr. SUPAL ROY | Contact No | 9163195059 |
| Address | MOGRA | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||