Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03479 | Date 09/02/2019 |
| Token No | SM/18-19/8366 09/02/2019 | Serial | 011 Last Visit: 09/02/2019 |
| Patient Name | Mr. SANAT DUTTA | Contact No | |
| Address | CHATRA SHITLATALA , BAIDYABATI (M) | Age | 56 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||