Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03597 | Date 15/02/2019 |
| Token No | SM/18-19/8740 15/02/2019 | Serial | 028 Last Visit: 15/02/2019 |
| Patient Name | Mr. RANJIT PAUL | Contact No | 8013533505 |
| Address | 38/1 CHATRA TETUL TALA BAZAR,BAIDYABATI(M) | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||