Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03344 | Date 04/02/2019 |
| Token No | SM/19-20/14376 30/11/2019 | Serial | 050 Last Visit: 05/05/2020 |
| Patient Name | Mr. KRISHNA CHANDRA RIT | Contact No | 7044722926 |
| Address | CHOTO BELUR MAHISHA PARA | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||