Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05525 | Date 22/06/2019 |
| Token No | SM/19-20/13889 23/11/2019 | Serial | 084 Last Visit: 23/11/2019 |
| Patient Name | Mr. SANDIP DEY | Contact No | 9903246198 |
| Address | 12 ROY GHAT LANE | Age | 31 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||