Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06783 | Date 01/11/2019 |
| Token No | SM/19-20/12624 01/11/2019 | Serial | 071 Last Visit: 01/11/2019 |
| Patient Name | Mr. SANKSR PANDIT | Contact No | 9051070502 |
| Address | 75 A BAGHER BAGAN,BAIDYABATI(M) | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||