Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07665 | Date 28/02/2020 |
| Token No | SM/19-20/20488 30/03/2020 | Serial | 039 Last Visit: 05/08/2021 |
| Patient Name | Mr. ASGAR ALI | Contact No | 9123617894 |
| Address | 61/A/1 GODAR BAGAN BYE LANE , BAIDYABATI(M) | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||