Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04345 | Date 23/03/2019 |
| Token No | SM/18-19/11470 28/03/2019 | Serial | 072 Last Visit: 28/03/2019 |
| Patient Name | Mr. JAYDEEP SETH | Contact No | 9836545307 |
| Address | SHIBTALA SHARSTI TALA , BAIDYABTI(M) | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 89 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||