Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06560 | Date 27/09/2019 |
| Token No | SM/19-20/11228 27/09/2019 | Serial | 039 Last Visit: 27/09/2019 |
| Patient Name | Mr. APURBA RAY | Contact No | 6290413931 |
| Address | 21,A. P. GHOSH ROAD | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||