Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07592 | Date 20/02/2020 |
| Token No | SM/19-20/18469 20/02/2020 | Serial | 061 Last Visit: 20/02/2020 |
| Patient Name | Mr. PRASONJIT DHUL | Contact No | 8697774131 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||