Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08683 | Date 28/08/2020 |
| Token No | SM/19-20/25295 28/08/2020 | Serial | 049 Last Visit: 05/10/2020 |
| Patient Name | Mr. SHAMBHU BOSE | Contact No | 9831575710 |
| Address | CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||