Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04573 | Date 05/04/2019 |
| Token No | SM/19-20/2186 04/05/2019 | Serial | 046 Last Visit: 08/04/2022 |
| Patient Name | Mr. RABINDRA NATH DAS | Contact No | 9874723224 |
| Address | CHATRA MUKHERJEE PARA,BAIDYABATI(M) | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||