Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07926 | Date 25/03/2020 |
| Token No | SM/19-20/20278 25/03/2020 | Serial | 034 Last Visit: 25/03/2020 |
| Patient Name | Mr. RANJIT PAUL | Contact No | 9007863714 |
| Address | 51 DHARMATALA LANE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||