Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 03686 | Date 19/02/2019 |
| Token No | SM/18-19/8972 19/02/2019 | Serial | 002 Last Visit: 26/02/2019 |
| Patient Name | Mr. TARUN BANERJEE | Contact No | 7890671525 |
| Address | BAHURI PARA SHEWRAPHULI, BAIDYABATI(M) | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||