Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02602 | Date 20/12/2018 |
| Token No | SM/20-21/26509 12/10/2020 | Serial | 004 Last Visit: 12/10/2020 |
| Patient Name | Mr. ASHIS MALLICK | Contact No | 9800779922 |
| Address | 56 CHATRA DUTTA PARA | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||