Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05279 | Date 29/05/2019 |
| Token No | SM/19-20/4630 15/06/2019 | Serial | 013 Last Visit: 15/06/2019 |
| Patient Name | Mr. SK RAJA | Contact No | 9746205700 |
| Address | PURBO BURDWAN | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||