Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04509 | Date 02/04/2019 |
| Token No | SM/19-20/19565 13/03/2020 | Serial | 039 Last Visit: 13/03/2020 |
| Patient Name | Mr. MANIK LAL SARKAR | Contact No | 9432103545 |
| Address | 7/7 K.C MUKHERJEE STREET , BAIDYABATI(M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||