Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00211 | Date 07/08/2018 |
| Token No | SM/19-20/5170 24/06/2019 | Serial | 036 Last Visit: 24/06/2019 |
| Patient Name | Mr. SANTANU DAS | Contact No | 9062375052 |
| Address | 18/20 KALITALA LANE,CHATRA,BAIDYABATI(M) | Age | 55.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||