Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03821 | Date 23/02/2019 |
| Token No | SM/18-19/9333 23/02/2019 | Serial | 019 Last Visit: 23/02/2019 |
| Patient Name | Mr. SUMIT HAJRA | Contact No | |
| Address | BARDHAMAN,MONDYSWAR | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||