Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03402 | Date 06/02/2019 |
| Token No | SM/18-19/8131 06/02/2019 | Serial | 025 Last Visit: 08/02/2019 |
| Patient Name | Mr. GOPAL MANDOL | Contact No | |
| Address | CHATRA BAGHER BAGAN,BOIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||