Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03705 | Date 19/02/2019 |
| Token No | SM/19-20/5249 25/06/2019 | Serial | 005 Last Visit: 10/02/2020 |
| Patient Name | Mr. PINTU MALIK | Contact No | 8334955542 |
| Address | BHADURI LANE CHATRA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||