Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03610 | Date 16/02/2019 |
| Token No | SM/18-19/8788 16/02/2019 | Serial | 012 Last Visit: 16/02/2019 |
| Patient Name | Mr. PRASENJIT SAHA | Contact No | 7890894950 |
| Address | 42 SHIV TALA LANE,BAIDYABATI(M) | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||