Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07897 | Date 24/03/2020 |
| Token No | SM/19-20/20328 26/03/2020 | Serial | 040 Last Visit: 23/05/2020 |
| Patient Name | Mr. SUSHANTA MONDAL | Contact No | 8013658632 |
| Address | 69 TELIPARA,BAIDYABATI(M) | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||