Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04610 | Date 08/04/2019 |
| Token No | SM/19-20/1144 18/04/2019 | Serial | 057 Last Visit: 29/04/2019 |
| Patient Name | Mr. SANJAY MALIK | Contact No | 9062402386 |
| Address | SINGUR | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||