Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 05324 | Date 03/06/2019 |
| Token No | SM/19-20/5530 28/06/2019 | Serial | 034 Last Visit: 14/03/2020 |
| Patient Name | Mr. PRITAM SINGH | Contact No | 9836757073 |
| Address | BAIDYABATI KAJIPARA | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 056 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||