Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02409 | Date 08/12/2018 |
| Token No | SM/19-20/3378 25/05/2019 | Serial | 004 Last Visit: 25/05/2019 |
| Patient Name | Mr. PRABHAS NASKAR | Contact No | |
| Address | CHATRA TELI PARA , BAIDYABATI (M) | Age | 55 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||