Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06481 | Date 20/09/2019 |
| Token No | SM/19-20/10758 20/09/2019 | Serial | 049 Last Visit: 20/09/2019 |
| Patient Name | Mr. PHELU KAR | Contact No | 9735671770 |
| Address | NISHCHINTAPUR PURBAPARA BINDALA, KRISHNABATI JAYPUR HOWRAH-711401 | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||