Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05680 | Date 06/07/2019 |
| Token No | SM/19-20/5940 06/07/2019 | Serial | 003 Last Visit: 05/02/2021 |
| Patient Name | Mr. PRADIP MONDOL | Contact No | 9836262535 |
| Address | ARAMBAG,KALIDONA , | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||