Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05862 | Date 20/07/2019 |
| Token No | SM/19-20/6910 20/07/2019 | Serial | 013 Last Visit: 20/07/2019 |
| Patient Name | Mr. CHAND SK | Contact No | 9733809990 |
| Address | MURSIDABAD, | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||