Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08010 | Date 03/04/2020 |
| Token No | SM/19-20/20710 03/04/2020 | Serial | 041 Last Visit: 03/04/2020 |
| Patient Name | Mr. SWAPAN GHATI | Contact No | |
| Address | BARABAGAN | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||