Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05352 | Date 07/06/2019 |
| Token No | SM/19-20/4154 08/06/2019 | Serial | 002 Last Visit: 08/06/2019 |
| Patient Name | Mr. RINKU DEY | Contact No | 9883963087 |
| Address | 247/H SEORAPHULY,CHARABAGAN,BAIDYABATI(M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||