Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05733 | Date 11/07/2019 |
| Token No | SM/19-20/6277 11/07/2019 | Serial | 027 Last Visit: 11/07/2019 |
| Patient Name | Mr. SUMANTA MALAKAR | Contact No | 6295707547 |
| Address | ROY GHAT | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||