Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03895 | Date 27/02/2019 |
| Token No | SM/18-19/9547 27/02/2019 | Serial | 036 Last Visit: 17/05/2019 |
| Patient Name | Mr. HARADHON PAL | Contact No | 9143676620 |
| Address | CHATRA TELI PARA , BAIDYABATI(M) | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||