Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04884 | Date 24/04/2019 |
| Token No | SM/19-20/1546 24/04/2019 | Serial | 016 Last Visit: 16/11/2019 |
| Patient Name | Mr. KANAHAI NATH | Contact No | 8420032251 |
| Address | 123/A CHATRA LANKAR BAGAN, BAIDYABATI(M) | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||