Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02208 | Date 29/11/2018 |
| Token No | SM/18-19/9059 19/02/2019 | Serial | 089 Last Visit: 19/02/2019 |
| Patient Name | Mr. PULAKESH BHADURI | Contact No | 8013835997 |
| Address | CHATRA BAU BAJAR , BAIDYABATI(M) | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 93 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||