Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06197 | Date 22/08/2019 |
| Token No | SM/19-20/8950 22/08/2019 | Serial | 015 Last Visit: 22/08/2019 |
| Patient Name | Mr. PRASHANTA DAS | Contact No | 9932381306 |
| Address | TARKESWAR | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||