Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04830 | Date 22/04/2019 |
| Token No | SM/19-20/1399 22/04/2019 | Serial | 114 Last Visit: 22/04/2019 |
| Patient Name | Mr. KARTIK DAS | Contact No | 9681411715 |
| Address | SARDAR PARA DAKSHIN RAJYADHARPUR MALLICK PARA | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||