Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01569 | Date 09/10/2018 |
| Token No | SM/18-19/2621 09/10/2018 | Serial | 010 Last Visit: 09/10/2018 |
| Patient Name | Mr. BISWAJIT RAY | Contact No | 8274870368 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI (M) | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||