Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08051 | Date 09/04/2020 |
| Token No | SM/19-20/20959 09/04/2020 | Serial | 037 Last Visit: 09/04/2020 |
| Patient Name | Mr. AVIJIT SOM | Contact No | 9830679114 |
| Address | 19,A BARUIPARA LANE CHATRA | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||