Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01675 | Date 26/10/2018 |
| Token No | SM/18-19/10407 11/03/2019 | Serial | 116 Last Visit: 12/05/2020 |
| Patient Name | Mr. RANJIT KUMAR DEY | Contact No | 9836239092 |
| Address | 301/1 IB CHATRA TELI PARA , BAIDYABATI(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||