Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05712 | Date 10/07/2019 |
| Token No | SM/19-20/6177 10/07/2019 | Serial | 045 Last Visit: 26/10/2019 |
| Patient Name | Mr. TANMAY PAUL | Contact No | 9433215110 |
| Address | 25,CHATRA KUMAR PARA | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||