Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07889 | Date 23/03/2020 |
| Token No | SM/19-20/20116 23/03/2020 | Serial | 011 Last Visit: 23/03/2020 |
| Patient Name | Mr. SANDHA GHORUI | Contact No | 8335032360 |
| Address | CHOTOBELU CHAK POST, | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||