Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04537 | Date 04/04/2019 |
| Token No | SM/19-20/217 04/04/2019 | Serial | 006 Last Visit: 04/04/2019 |
| Patient Name | Mr. RABI MONDAL | Contact No | 7890399392 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||