Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06947 | Date 21/11/2019 |
| Token No | SM/19-20/13737 21/11/2019 | Serial | 075 Last Visit: 21/11/2019 |
| Patient Name | Mr. RAGHUNATH DAS | Contact No | 7044008185 |
| Address | 268(42/B) G.T ROAD KUMAR BAGAN , BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||