Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07471 | Date 04/02/2020 |
| Token No | SM/19-20/17939 12/02/2020 | Serial | 049 Last Visit: 12/02/2020 |
| Patient Name | Mr. GANESH JANA | Contact No | 9163714773 |
| Address | 175 SHITALATALA ROAD,CHATRA,BAIDYABATI(M) | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||