Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05490 | Date 20/06/2019 |
| Token No | SM/19-20/4910 20/06/2019 | Serial | 050 Last Visit: 20/06/2019 |
| Patient Name | Mr. BUDHADEB KUNDU | Contact No | 9143324446 |
| Address | 148/1, SHIBTALA LANE , BAIDYABATI(M) | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||