Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04539 | Date 04/04/2019 |
| Token No | SM/19-20/229 04/04/2019 | Serial | 018 Last Visit: 04/04/2019 |
| Patient Name | Mr. BABU DAS | Contact No | 9163830338 |
| Address | RAI GHAT | Age | 36 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||