Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02367 | Date 06/12/2018 |
| Token No | SM/18-19/4753 06/12/2018 | Serial | 008 Last Visit: 06/12/2018 |
| Patient Name | Mr. MANOJ KUMAR DAS | Contact No | 8961285337 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||