Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05454 | Date 17/06/2019 |
| Token No | SM/19-20/4684 17/06/2019 | Serial | 001 Last Visit: 18/07/2019 |
| Patient Name | Mr. RAJU PRAMANIK | Contact No | 7890383121 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||