Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03498 | Date 12/02/2019 |
| Token No | SM/19-20/318 05/04/2019 | Serial | 024 Last Visit: 05/04/2019 |
| Patient Name | Mr. DEBENDU RAM | Contact No | 8274900535 |
| Address | CHATRA TETULTALA BAIDYABATI(M) | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||