Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01762 | Date 29/10/2018 |
| Token No | SM/19-20/21403 21/04/2020 | Serial | 015 Last Visit: 28/04/2020 |
| Patient Name | Mr. NAKUL BHADURI | Contact No | 9330975696 |
| Address | CHATRA BOU BAZAR,BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||