Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03293 | Date 01/02/2019 |
| Token No | SM/18-19/9248 22/02/2019 | Serial | 025 Last Visit: 01/04/2019 |
| Patient Name | Mr. MANAB MAJHI | Contact No | |
| Address | CHATRA BAGHER BAGAN,BAIDYABATY(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||