Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07814 | Date 17/03/2020 |
| Token No | SM/19-20/19743 17/03/2020 | Serial | 002 Last Visit: 17/03/2020 |
| Patient Name | Mr. BHUBENESWAR SING | Contact No | 8969813967 |
| Address | SEORAPHULY,KALI PUKUR | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||