Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03879 | Date 26/02/2019 |
| Token No | SM/19-20/11339 30/09/2019 | Serial | 012 Last Visit: 30/09/2019 |
| Patient Name | Mr. SANTANU GHOSH | Contact No | 9231910086 |
| Address | CHATRA MANNA PARA BAIDYABATI(M) | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||