Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06765 | Date 31/10/2019 |
| Token No | SM/19-20/12503 31/10/2019 | Serial | 024 Last Visit: 31/10/2019 |
| Patient Name | Mr. JOYDEB BHADRA | Contact No | 8336014689 |
| Address | 344/117/A TELIPARA , BAIDYABATI(M) | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||