Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03608 | Date 16/02/2019 |
| Token No | SM/19-20/20145 23/03/2020 | Serial | 040 Last Visit: 23/03/2020 |
| Patient Name | Mr. KARTIK MANDOL | Contact No | 6163152874 |
| Address | NAOGA,CHOTO BELUR,BAIDYABATI(M) | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||