Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05003 | Date 03/05/2019 |
| Token No | SM/19-20/22349 18/05/2020 | Serial | 048 Last Visit: 18/05/2020 |
| Patient Name | Mr. SK SAFIK | Contact No | 9903863373 |
| Address | 21 KUMOR PARA ,CHATRA SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||