Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00670 | Date 24/08/2018 |
| Token No | SM/19-20/5990 06/07/2019 | Serial | 053 Last Visit: 06/07/2019 |
| Patient Name | Mr. SUBRATA KARMAKAR | Contact No | 9088070566 |
| Address | CHATRA SIDDESARI LANE | Age | 37.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||