Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03886 | Date 27/02/2019 |
| Token No | SM/18-19/9515 27/02/2019 | Serial | 004 Last Visit: 27/02/2019 |
| Patient Name | Mr. JAFU MONDAL | Contact No | 7384865590 |
| Address | KADAMPUR, SRIKHANDA | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||