Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07272 | Date 03/01/2020 |
| Token No | SM/19-20/17567 04/02/2020 | Serial | 004 Last Visit: 16/03/2020 |
| Patient Name | Mr. ANIL JANA | Contact No | 9903296758 |
| Address | CHOTOBELU,BEIUMILKI | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||