Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04045 | Date 06/03/2019 |
| Token No | SM/18-19/11655 30/03/2019 | Serial | 070 Last Visit: 04/05/2019 |
| Patient Name | Mr. KASHINATH GHOSH | Contact No | 8017813466 |
| Address | 81/A NISHITH SEN SARANI BAIDYABATI(M) | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||