Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04549 | Date 04/04/2019 |
| Token No | SM/19-20/513 08/04/2019 | Serial | 077 Last Visit: 09/04/2019 |
| Patient Name | Mr. BUBAI KUNDU | Contact No | 9143324446 |
| Address | SEORAPHULI SHIB TALA | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 96 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||