Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05949 | Date 25/07/2019 |
| Token No | SM/19-20/16632 13/01/2020 | Serial | 034 Last Visit: 13/01/2020 |
| Patient Name | Mr. BISHWANATH MONDAL | Contact No | |
| Address | CHATRA BOU BAZAR SHITLATALA , BAIDYABATI(M) | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||