Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05810 | Date 17/07/2019 |
| Token No | SM/19-20/6686 17/07/2019 | Serial | 058 Last Visit: 17/07/2019 |
| Patient Name | Mr. PAPIA BELEL | Contact No | 7890195675 |
| Address | CHATRA, LANKER BAGAN,BAIDYABATI(M) | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||