Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06690 | Date 19/10/2019 |
| Token No | SM/19-20/12060 19/10/2019 | Serial | 009 Last Visit: 12/12/2019 |
| Patient Name | Mr. JABED MALLICK | Contact No | 8647916119 |
| Address | DAKSHINPARA , BANGIHATI MALLICK PARA | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||