Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07986 | Date 01/04/2020 |
| Token No | SM/19-20/20595 01/04/2020 | Serial | 017 Last Visit: 01/04/2020 |
| Patient Name | Mr. ARUN GHARA | Contact No | 9239070848 |
| Address | 36A CHATRA MUKHERJEE PARA BAIDYABATI (M) | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||