Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07495 | Date 07/02/2020 |
| Token No | SM/19-20/17870 10/02/2020 | Serial | 046 Last Visit: 18/02/2020 |
| Patient Name | Mr. RABINDRA NATH PAKRE | Contact No | 9836512358 |
| Address | 77/96/5 RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||