Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06586 | Date 30/09/2019 |
| Token No | SM/19-20/11368 30/09/2019 | Serial | 041 Last Visit: 30/09/2019 |
| Patient Name | Mr. SWARUP BERA | Contact No | 9748353681 |
| Address | 19 RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||