Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07978 | Date 31/03/2020 |
| Token No | SM/19-20/20540 31/03/2020 | Serial | 010 Last Visit: 27/04/2020 |
| Patient Name | Mr. TAMAL KUMAR DAS | Contact No | 9038192618 |
| Address | G.T ROAD TELEPARA BAGER BAGAN BAIDYABATI M | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||