Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07500 | Date 07/02/2020 |
| Token No | SM/19-20/17768 07/02/2020 | Serial | 041 Last Visit: 07/02/2020 |
| Patient Name | Mr. AJAY SAHA | Contact No | 8420411434 |
| Address | 20 ROY GHAT LANE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||