Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02045 | Date 20/11/2018 |
| Token No | SM/18-19/3929 20/11/2018 | Serial | 007 Last Visit: 20/11/2018 |
| Patient Name | Mr. SUKUMAR MONDAL | Contact No | 9674151783 |
| Address | CHATRA PAMPA NAGAR, BAIDYABATI (M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||