Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06631 | Date 14/10/2019 |
| Token No | SM/19-20/11686 14/10/2019 | Serial | 080 Last Visit: 14/10/2019 |
| Patient Name | Mr. NASIMADDIN MALLIK | Contact No | 7890534664 |
| Address | RAMCHANDRAPUR,PAHALAMPUR,SHINGUR | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||