Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07815 | Date 17/03/2020 |
| Token No | SM/19-20/19768 17/03/2020 | Serial | 027 Last Visit: 17/03/2020 |
| Patient Name | Mr. BHULU SHA | Contact No | 8777468154 |
| Address | 28/A TINBAZAR BYE LANE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||