Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05723 | Date 10/07/2019 |
| Token No | SM/19-20/6224 10/07/2019 | Serial | 092 Last Visit: 10/07/2019 |
| Patient Name | Mr. SANATAN SAHA | Contact No | |
| Address | CHATRA DHARMATALA | Age | 80 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||