Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04798 | Date 22/04/2019 |
| Token No | SM/19-20/1296 22/04/2019 | Serial | 011 Last Visit: 22/04/2019 |
| Patient Name | Mr. SAIKAT MISHRA | Contact No | 7890040578 |
| Address | 11M CHATRA MANIK GHOSER BAGAN , BAIDYABATI(M) | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||