Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07486 | Date 06/02/2020 |
| Token No | SM/19-20/17694 06/02/2020 | Serial | 018 Last Visit: 06/02/2020 |
| Patient Name | Mr. AJIT KUMAR PAL | Contact No | 9088648078 |
| Address | 39 MANIK GHOSER BAGAN,BAIDYABATI(M) | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||