Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05691 | Date 06/07/2019 |
| Token No | SM/19-20/6021 06/07/2019 | Serial | 084 Last Visit: 09/05/2020 |
| Patient Name | Mr. SYAMAL DHARA | Contact No | 8648880677 |
| Address | 132 N. S EVENU | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||