Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07424 | Date 27/01/2020 |
| Token No | SM/19-20/17236 27/01/2020 | Serial | 031 Last Visit: 27/01/2020 |
| Patient Name | Mr. SHIBU BAG | Contact No | 9830236952 |
| Address | 65 TELIPARA , BAIDYABATI(M) | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||