Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04910 | Date 25/04/2019 |
| Token No | SM/19-20/1652 25/04/2019 | Serial | 038 Last Visit: 25/04/2019 |
| Patient Name | Mr. SK SHERFUL | Contact No | 7909104059 |
| Address | HARIPUR, KHAJURDIHI, KATWA, BURDWAN | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||