Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07796 | Date 14/03/2020 |
| Token No | SM/19-20/19665 14/03/2020 | Serial | 068 Last Visit: 14/03/2020 |
| Patient Name | Mr. ANUP KUMAR SARKAR | Contact No | 8820190922 |
| Address | 16/2 K,C MUKHERJEE STREET (BELEL PARA), BAIDYABATI(M) | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||