Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05879 | Date 22/07/2019 |
| Token No | SM/19-20/7005 22/07/2019 | Serial | 023 Last Visit: 22/07/2019 |
| Patient Name | Mr. ARKO DEY | Contact No | 9748970051 |
| Address | KALUI , BARDDAMAN | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||