Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07686 | Date 02/03/2020 |
| Token No | SM/19-20/18976 02/03/2020 | Serial | 013 Last Visit: 02/03/2020 |
| Patient Name | Mr. BIKRAM PRAMANIK | Contact No | 8697742120 |
| Address | 96/32/4/F , MARADAN , MALLICK PARA , BAIDYABATI(M) | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||