Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07547 | Date 15/02/2020 |
| Token No | SM/19-20/18110 15/02/2020 | Serial | 009 Last Visit: 15/02/2020 |
| Patient Name | Mr. MANIK GHOSH | Contact No | 8296025056 |
| Address | 190/77/B TELIPARA BAGER BAGAN , BAIDYABATI (M) | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||