Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03111 | Date 21/01/2019 |
| Token No | SM/18-19/9410 25/02/2019 | Serial | 017 Last Visit: 09/12/2019 |
| Patient Name | Mr. HARU SANTRA | Contact No | 9836517776 |
| Address | DIARA | Age | 51 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||