Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05217 | Date 24/05/2019 |
| Token No | SM/19-20/3331 24/05/2019 | Serial | 016 Last Visit: 24/05/2019 |
| Patient Name | Mr. SAMU MONDAL | Contact No | |
| Address | SANTI PUMP , BAIDYABATI(M) | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||