Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05745 | Date 13/07/2019 |
| Token No | SM/19-20/11950 17/10/2019 | Serial | 060 Last Visit: 05/11/2019 |
| Patient Name | Mr. DILIP KUMAR MANNA | Contact No | 9038717822 |
| Address | 171 G. T. ROAD,BAIDYABATI(M) | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||