Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01617 | Date 11/10/2018 |
| Token No | SM/18-19/2754 11/10/2018 | Serial | 017 Last Visit: 08/09/2021 |
| Patient Name | Mr. KALIPADA MONDAL | Contact No | 9051631167 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI (M) | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||