Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07552 | Date 15/02/2020 |
| Token No | SM/19-20/18143 15/02/2020 | Serial | 042 Last Visit: 15/02/2020 |
| Patient Name | Mr. RAJKUMAR GUIN | Contact No | 9051681261 |
| Address | 11/A SHITALATALA ROAD CHATRA BAIDYABATI(M) | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||