Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07094 | Date 06/12/2019 |
| Token No | SM/19-20/14786 06/12/2019 | Serial | 043 Last Visit: 06/12/2019 |
| Patient Name | Mr. ANIRBAN PAUL | Contact No | 7439412812 |
| Address | 268(42/B) G.T ROAD CHATRA , BAIDYABATI(M) | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||