Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05295 | Date 30/05/2019 |
| Token No | SM/19-20/3727 30/05/2019 | Serial | 020 Last Visit: 30/05/2019 |
| Patient Name | Mr. ARUN SHAW | Contact No | 7439564466 |
| Address | G T ROAD , BAIDYABATI(M) | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||