Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05429 | Date 14/06/2019 |
| Token No | SM/19-20/4553 14/06/2019 | Serial | 028 Last Visit: 26/07/2019 |
| Patient Name | Mr. BIKKI HELA | Contact No | 6290185525 |
| Address | 5 K.M BHATTACHARJEE STREET | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||