Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05187 | Date 21/05/2019 |
| Token No | SM/19-20/3410 25/05/2019 | Serial | 036 Last Visit: 08/01/2022 |
| Patient Name | Mr. AJAY MALIK | Contact No | 9062024232 |
| Address | 56/40,HARIJON ROAD,DAS PARA,BAIDYABATI(M) | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||