Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03607 | Date 16/02/2019 |
| Token No | SM/18-19/8779 16/02/2019 | Serial | 003 Last Visit: 21/02/2019 |
| Patient Name | Mr. TARAPADA PAL | Contact No | 8017627172 |
| Address | CHATRA TETUL TALA BAGAN,BAIDYABATI(M) | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||