Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02986 | Date 14/01/2019 |
| Token No | SM/18-19/6746 14/01/2019 | Serial | 037 Last Visit: 14/01/2019 |
| Patient Name | Mr. RAHUL HALDAR | Contact No | 9674975065 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||