Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04488 | Date 30/03/2019 |
| Token No | SM/19-20/262 04/04/2019 | Serial | 051 Last Visit: 12/02/2020 |
| Patient Name | Mr. PARITOSH SARKAR | Contact No | 9088548782 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI (M) | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||