Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08035 | Date 07/04/2020 |
| Token No | SM/19-20/21618 27/04/2020 | Serial | 045 Last Visit: 27/04/2020 |
| Patient Name | Mr. HEMANTA PAL | Contact No | 9230816537 |
| Address | 272 CHATRA BOWBAZAR BAIDYABATI M | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||