Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03493 | Date 12/02/2019 |
| Token No | SM/18-19/8411 12/02/2019 | Serial | 015 Last Visit: 12/02/2019 |
| Patient Name | Mr. ANIL ROY | Contact No | 9007860479 |
| Address | 50 RAMKRISHNA ROAD, BAIDYABATI(M) | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||