Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04188 | Date 12/03/2019 |
| Token No | SM/18-19/10462 12/03/2019 | Serial | 053 Last Visit: 12/03/2019 |
| Patient Name | Mr. RANA PRATAP GUPTA | Contact No | 7044575115 |
| Address | 206 G. T ROAD SHITLATALA , BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||