Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07240 | Date 28/12/2019 |
| Token No | SM/19-20/15976 28/12/2019 | Serial | 014 Last Visit: 28/12/2019 |
| Patient Name | Mr. DEBU KUMAR | Contact No | 9836566876 |
| Address | 57 G.D BHATTACHARYA LANE, BAIDYBATI(M) | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||