Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03889 | Date 27/02/2019 |
| Token No | SM/18-19/10248 09/03/2019 | Serial | 039 Last Visit: 09/03/2019 |
| Patient Name | Mr. BABLU DAS | Contact No | 9143676621 |
| Address | CHATRA TELI PARA , BAIDYABATI(M) | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||