Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03356 | Date 04/02/2019 |
| Token No | SM/18-19/7976 04/02/2019 | Serial | 072 Last Visit: 04/02/2019 |
| Patient Name | Mr. JADAB DUTTA | Contact No | 8013777281 |
| Address | CHATRA SHITALA TALA,BAIDYABATI(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 55.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||