Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07890 | Date 23/03/2020 |
| Token No | SM/19-20/20121 23/03/2020 | Serial | 016 Last Visit: 23/04/2020 |
| Patient Name | Mr. RAJKUMAR GHOSH | Contact No | 9007085968 |
| Address | 429 G. T. ROAD,CHATRA BOUBAZAR,BAIDYABATI(M) | Age | 30 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||