Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03316 | Date 02/02/2019 |
| Token No | SM/18-19/7864 02/02/2019 | Serial | 053 Last Visit: 27/03/2019 |
| Patient Name | Mr. BIMAL BENERJEE | Contact No | 8282810515 |
| Address | 301/V TELI PARA BOU BAZAR,BAIDYABATI(M) | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||