Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03843 | Date 23/02/2019 |
| Token No | SM/18-19/9386 23/02/2019 | Serial | 072 Last Visit: 23/02/2019 |
| Patient Name | Mr. TAPAN BENERJEE | Contact No | 9903913682 |
| Address | 301 TELI PARA,BAIDYABATI)M) | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||