Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08031 | Date 06/04/2020 |
| Token No | SM/19-20/20809 06/04/2020 | Serial | 060 Last Visit: 06/04/2020 |
| Patient Name | Mr. MITHUN CHAKRABORTY | Contact No | 7595913380 |
| Address | PAMPA NAGAR BAIDYABATI M | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||