Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07180 | Date 18/12/2019 |
| Token No | SM/19-20/17660 05/02/2020 | Serial | 036 Last Visit: 05/02/2020 |
| Patient Name | Mr. BABLU MONDAL | Contact No | 9804244619 |
| Address | CHATRA TELI PARA , BAIDYABATI(M) | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||