Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05510 | Date 21/06/2019 |
| Token No | SM/19-20/5012 21/06/2019 | Serial | 038 Last Visit: 21/06/2019 |
| Patient Name | Mr. SUNAI BISWAS | Contact No | 7449772911 |
| Address | TARAPUKUR GOV QUATER | Age | 32 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||