Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01502 | Date 04/10/2018 |
| Token No | SM/19-20/253 04/04/2019 | Serial | 042 Last Visit: 18/07/2019 |
| Patient Name | Mr. NOBO KUMAR PAL | Contact No | 9831685510 |
| Address | CHATRA KUYMARPARA | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||