Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07211 | Date 21/12/2019 |
| Token No | SM/19-20/15736 21/12/2019 | Serial | 044 Last Visit: 21/12/2019 |
| Patient Name | Mr. PRASANTA SARKAR | Contact No | 9163120630 |
| Address | 66/2 TELIPARA LANE CHATRA BAIDYABATI | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||