Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06355 | Date 07/09/2019 |
| Token No | SM/19-20/9974 07/09/2019 | Serial | 043 Last Visit: 07/09/2019 |
| Patient Name | Mr. ARIJIT DAS | Contact No | 8910509960 |
| Address | CHOTO BELU MAHISHYAPARA , BELUMILKI | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||