Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06875 | Date 15/11/2019 |
| Token No | SM/19-20/13319 15/11/2019 | Serial | 052 Last Visit: 15/11/2019 |
| Patient Name | Mr. BISWAJIT CHOWDHURY | Contact No | 9804300441 |
| Address | TELI PARA BAGER BAGAN , BAIDYABATI(M) | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||