Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07125 | Date 12/12/2019 |
| Token No | SM/19-20/15083 12/12/2019 | Serial | 003 Last Visit: 27/03/2020 |
| Patient Name | Mr. SUSHIL DEY | Contact No | 7044627872 |
| Address | 41/7 MANIK GHOSER BAGAN, BAIDYABATI(M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||