Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04760 | Date 18/04/2019 |
| Token No | SM/19-20/16090 31/12/2019 | Serial | 032 Last Visit: 07/12/2020 |
| Patient Name | Mr. KALIPADA SARKAR | Contact No | 9830306468 |
| Address | 175/A CHATRA TELI PARA , BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||