Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05028 | Date 07/05/2019 |
| Token No | SM/19-20/2291 07/05/2019 | Serial | 072 Last Visit: 07/05/2019 |
| Patient Name | Mr. BUDHAN BHUIYA | Contact No | |
| Address | 247/C/A CHARABAGAN BAUREPARA , BAIDYABATI(M) | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||