Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 04095 | Date 08/03/2019 |
| Token No | SM/18-19/10192 08/03/2019 | Serial | 083 Last Visit: 08/03/2019 |
| Patient Name | Mr. SUSHANTA KUNDU BHOWMICK | Contact No | 8617799144 |
| Address | 176 N S ROAD , BAIDYABATI (M) | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||