Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04746 | Date 17/04/2019 |
| Token No | SM/19-20/1066 17/04/2019 | Serial | 073 Last Visit: 17/04/2019 |
| Patient Name | Mr. RAHUL MANNA | Contact No | 9051420429 |
| Address | SHEWRAPHULI MUKHERJEE GHAT , BAIDYABATI(M) | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||