Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03586 | Date 14/02/2019 |
| Token No | SM/19-20/16335 07/01/2020 | Serial | 043 Last Visit: 06/02/2020 |
| Patient Name | Mr. PARESH PAL | Contact No | 8583822278 |
| Address | 38 CHATRA KUMOR PARA LANE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||