Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07936 | Date 26/03/2020 |
| Token No | SM/19-20/20336 26/03/2020 | Serial | 048 Last Visit: 26/03/2020 |
| Patient Name | Mr. ABHIJIT PAUL | Contact No | 9874890991 |
| Address | 51, DHARMA TALA LANE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||