Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04181 | Date 12/03/2019 |
| Token No | SM/19-20/3787 31/05/2019 | Serial | 031 Last Visit: 16/11/2021 |
| Patient Name | Mr. SANJAY ASH | Contact No | 9163457774 |
| Address | CHATRA TELI PARA BAGER BAGAN, BAIDYABATI (M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||