Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04597 | Date 06/04/2019 |
| Token No | SM/19-20/22973 11/06/2020 | Serial | 023 Last Visit: 11/06/2020 |
| Patient Name | Mr. JOY DAS | Contact No | 9804228916 |
| Address | 57J/ G.T ROAD PAMPA NAGAR , BAIDYABATI(M) | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||