Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06672 | Date 17/10/2019 |
| Token No | SM/19-20/18881 28/02/2020 | Serial | 067 Last Visit: 28/02/2020 |
| Patient Name | Mr. SK JAHANGIR | Contact No | 7686969583 |
| Address | 47/A MUSALMAN PARA ROAD , BAIDYABATI(M) | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||