Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07847 | Date 19/03/2020 |
| Token No | SM/19-20/19906 19/03/2020 | Serial | 009 Last Visit: 19/03/2020 |
| Patient Name | Mr. PHUL MAHAMMAD | Contact No | 8478837938 |
| Address | 38/A G.T ROAD CHAMPADANI , BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||