Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03415 | Date 06/02/2019 |
| Token No | SM/18-19/8159 06/02/2019 | Serial | 053 Last Visit: 06/02/2019 |
| Patient Name | Mr. JOYDEB KOLEY | Contact No | |
| Address | CHATRA,MANNA PARAS,BAIDYABATI(M) | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||