Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07384 | Date 21/01/2020 |
| Token No | SM/19-20/16975 21/01/2020 | Serial | 019 Last Visit: 27/09/2022 |
| Patient Name | Mr. ASHIS ASH | Contact No | 6289590167 |
| Address | TELIPARA BAGHER BAGAN,BAIDYABATI(M) | Age | 18YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||