Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07425 | Date 27/01/2020 |
| Token No | SM/19-20/17249 27/01/2020 | Serial | 044 Last Visit: 05/02/2020 |
| Patient Name | Mr. RAJU KAYAL | Contact No | 8768827180 |
| Address | 95/75F, TELIPARA , CHATRA BAIDYABATI(M) | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||