Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04358 | Date 25/03/2019 |
| Token No | SM/19-20/16912 20/01/2020 | Serial | 025 Last Visit: 20/01/2020 |
| Patient Name | Mr. BANSI BADAN KHAN | Contact No | |
| Address | 39/A CHATYRA BARUI PARA SERAMPORE | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||