Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08537 | Date 13/07/2020 |
| Token No | SM/19-20/24086 13/07/2020 | Serial | 056 Last Visit: 13/07/2020 |
| Patient Name | Mr. SURAJIT BAG | Contact No | 6294078212 |
| Address | MADHYA HOWLY TARAKESWAR | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||