Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07671 | Date 28/02/2020 |
| Token No | SM/19-20/18879 28/02/2020 | Serial | 065 Last Visit: 28/02/2020 |
| Patient Name | Mr. LILU DEY | Contact No | 9339445282 |
| Address | CHATRA NEAR NADOLAL SCHOOL (EXCISE DEPARTMENT) | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||