Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05455 | Date 17/06/2019 |
| Token No | SM/19-20/4699 17/06/2019 | Serial | 016 Last Visit: 17/06/2019 |
| Patient Name | Mr. PRADIP MAITI | Contact No | 8599973722 |
| Address | UTTAR JINANDA , PURBA MEDINIPUR | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||