Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00613 | Date 21/08/2018 |
| Token No | SM/19-20/18021 13/02/2020 | Serial | 040 Last Visit: 13/04/2022 |
| Patient Name | Mr. MUKESH KUMAR YADAV | Contact No | 7808915267 |
| Address | BAGER BAGAN TELI PARA,BAIDYABATI(M) | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||