Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06377 | Date 12/09/2019 |
| Token No | SM/19-20/10187 12/09/2019 | Serial | 005 Last Visit: 12/09/2019 |
| Patient Name | Mr. KAMAL MONDAL | Contact No | 9038573706 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||