Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03724 | Date 20/02/2019 |
| Token No | SM/19-20/11760 15/10/2019 | Serial | 038 Last Visit: 26/08/2020 |
| Patient Name | Mr. SHIBNATH BISWAS | Contact No | 6297110055 |
| Address | CHATRA LANKAR BAGAN, BAIDYABATI(M) | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||