Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04925 | Date 26/04/2019 |
| Token No | SM/19-20/1722 26/04/2019 | Serial | 034 Last Visit: 26/04/2019 |
| Patient Name | Mr. MAHESH MALLIK | Contact No | 9874433412 |
| Address | MAHESH JAGARNATH GHAT | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||