Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05341 | Date 06/06/2019 |
| Token No | SM/19-20/4055 06/06/2019 | Serial | 031 Last Visit: 06/06/2019 |
| Patient Name | Mr. JOYDEB DAS | Contact No | 9051907346 |
| Address | 291(108) G.T ROAD CHATRA, BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||