Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03838 | Date 23/02/2019 |
| Token No | SM/18-19/9374 23/02/2019 | Serial | 060 Last Visit: 30/03/2019 |
| Patient Name | Mr. SURAJIT KOLE | Contact No | 9007199020 |
| Address | NIJAMPUR,BORA | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||