Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07584 | Date 19/02/2020 |
| Token No | SM/19-20/18370 19/02/2020 | Serial | 031 Last Visit: 19/02/2020 |
| Patient Name | Mr. ABANI MONDAL | Contact No | 7044682668 |
| Address | 47/A G. T. ROAD,BAIDYABATI(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||