Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04810 | Date 22/04/2019 |
| Token No | SM/19-20/1340 22/04/2019 | Serial | 055 Last Visit: 22/04/2019 |
| Patient Name | Mr. SAHADEB POREL | Contact No | 9163983870 |
| Address | PAR DANKUNI , DANKUNI COAL COMPLEX, HOOGHLY | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||