Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07033 | Date 30/11/2019 |
| Token No | SM/19-20/14407 30/11/2019 | Serial | 081 Last Visit: 30/11/2019 |
| Patient Name | Mr. MONU SHAW | Contact No | |
| Address | RAMKRISHNA ROAD , BAIDYABATI(M) | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||