Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07452 | Date 01/02/2020 |
| Token No | SM/19-20/17468 01/02/2020 | Serial | 079 Last Visit: 01/02/2020 |
| Patient Name | Mr. MEGHNATH DAS | Contact No | 9831048667 |
| Address | 127/149 SHITALATALA ROAD CHATRA , BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||