Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07491 | Date 06/02/2020 |
| Token No | SM/19-20/18467 20/02/2020 | Serial | 059 Last Visit: 20/02/2020 |
| Patient Name | Mr. PRADIP KUMER PALIT | Contact No | 9433399082 |
| Address | 10/A THAKURDAS BABU LANE, | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||