Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02387 | Date 07/12/2018 |
| Token No | SM/19-20/20019 20/03/2020 | Serial | 056 Last Visit: 26/03/2020 |
| Patient Name | Mr. NIRANJAN PAL | Contact No | 9062236122 |
| Address | CHATRA KUMAR PARA | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||