Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 04415 | Date 27/03/2019 |
| Token No | SM/18-19/11312 27/03/2019 | Serial | 016 Last Visit: 19/12/2019 |
| Patient Name | Mr. RAJU SAHA | Contact No | 9331713186 |
| Address | 176 NS ROAD SARDAR PARA SHEWRAPHULI, BAIDYABATI(M) | Age | 32 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||