Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05598 | Date 27/06/2019 |
| Token No | SM/19-20/5468 27/06/2019 | Serial | 051 Last Visit: 27/06/2019 |
| Patient Name | Mr. SHRAVAN KUMAR RAJAK | Contact No | 9007592789 |
| Address | BARA BEHERA BIPIN PAL ROAD, KONNAGAR | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||