Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03285 | Date 01/02/2019 |
| Token No | SM/18-19/7773 01/02/2019 | Serial | 049 Last Visit: 01/02/2019 |
| Patient Name | Mr. ARUNACHAL SHAT | Contact No | |
| Address | CHATRA KALITALA,BAIDYABATY(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||