Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07892 | Date 23/03/2020 |
| Token No | SM/19-20/20129 23/03/2020 | Serial | 024 Last Visit: 01/04/2020 |
| Patient Name | Mr. RABINDRA NATH PAL | Contact No | 9875390076 |
| Address | 13/A KUMOR PARA LANE | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||