Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06191 | Date 21/08/2019 |
| Token No | SM/19-20/8887 21/08/2019 | Serial | 049 Last Visit: 24/12/2019 |
| Patient Name | Mr. SHYAMAL PAL | Contact No | |
| Address | CHATRA KUMAR PARA | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||