Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04245 | Date 16/03/2019 |
| Token No | SM/18-19/10627 16/03/2019 | Serial | 009 Last Visit: 25/03/2019 |
| Patient Name | Mr. ARUN PADAR | Contact No | 8420478872 |
| Address | SHEWRAPHULI BAURI PARA , BAIDYABATI(M) | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||