Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 01307 | Date 24/09/2018 |
| Token No | SM/18-19/3365 02/11/2018 | Serial | 049 Last Visit: 01/11/2019 |
| Patient Name | Mr. MADHAB PARUI | Contact No | 9874637037 |
| Address | 1/A D. N. MUKHERJEE ROAD,BAIDYABATI(M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/90 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||