Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05335 | Date 04/06/2019 |
| Token No | SM/19-20/4007 04/06/2019 | Serial | 028 Last Visit: 04/06/2019 |
| Patient Name | Mr. KANAN PAL | Contact No | |
| Address | CHATRA TETUL TALA , BAIDYABATI(M) | Age | 90 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||