Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03813 | Date 22/02/2019 |
| Token No | SM/19-20/18368 19/02/2020 | Serial | 029 Last Visit: 19/02/2020 |
| Patient Name | Mr. SK SULTAN | Contact No | 8777262475 |
| Address | BAIDYABATI KAJI PARA | Age | 35 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||