Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08092 | Date 16/04/2020 |
| Token No | SM/19-20/21198 16/04/2020 | Serial | 040 Last Visit: 17/04/2020 |
| Patient Name | Mr. DILIP BERA | Contact No | 8820342409 |
| Address | CHATRA MUKHERJEE PARA,BAIDYABATI(M) | Age | 48 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||