Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06551 | Date 26/09/2019 |
| Token No | SM/19-20/11158 26/09/2019 | Serial | 042 Last Visit: 26/09/2019 |
| Patient Name | Mr. RABIN PAL | Contact No | 9903427982 |
| Address | BELUMILKI,BARABELU | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||