Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07925 | Date 25/03/2020 |
| Token No | SM/19-20/20277 25/03/2020 | Serial | 033 Last Visit: 25/03/2020 |
| Patient Name | Mr. SUMANTA PAUL | Contact No | 8961170355 |
| Address | 272 CHATRA BOWBAZAR,BAIDYABATI(M) | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||