Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05174 | Date 21/05/2019 |
| Token No | SM/19-20/3073 21/05/2019 | Serial | 021 Last Visit: 09/04/2020 |
| Patient Name | Mr. RAKESH KUMAR | Contact No | 8420165134 |
| Address | 57 G D BHATTACHARYA LANE , BAIDYABATI(M) | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||