Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08117 | Date 20/04/2020 |
| Token No | SM/19-20/21349 20/04/2020 | Serial | 024 Last Visit: 01/05/2020 |
| Patient Name | Mr. DILIP DHAR | Contact No | 7044703625 |
| Address | 10A/Z/V/E GODAR BAGAN BYE LANE,BAIDYABATI(M) | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||