Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04061 | Date 07/03/2019 |
| Token No | SM/19-20/209 03/04/2019 | Serial | 064 Last Visit: 03/04/2019 |
| Patient Name | Mr. MANISH MONDAL | Contact No | 8961485419 |
| Address | CHOTO BELUR | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||