Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03993 | Date 05/03/2019 |
| Token No | SM/18-19/9831 05/03/2019 | Serial | 032 Last Visit: 05/03/2019 |
| Patient Name | Mr. SANJAY KUNDU | Contact No | 9051188899 |
| Address | CHATRA BOU BAJAR , BAIDYABATI(M) | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||