Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07268 | Date 02/01/2020 |
| Token No | SM/19-20/16138 02/01/2020 | Serial | 031 Last Visit: 13/01/2020 |
| Patient Name | Mr. SK IMRAN | Contact No | 7685001718 |
| Address | PAMOA NAGER ,CHATRA,BAIDYABATI(M) | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||