Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04075 | Date 07/03/2019 |
| Token No | SM/19-20/498 08/04/2019 | Serial | 062 Last Visit: 08/04/2019 |
| Patient Name | Mr. RABINDRA NATH DAS | Contact No | 9143695677 |
| Address | 301D/A BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||