Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04278 | Date 18/03/2019 |
| Token No | SM/18-19/10750 18/03/2019 | Serial | 049 Last Visit: 18/03/2019 |
| Patient Name | Mr. BABUA RAUTH | Contact No | 7890242213 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||