Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05560 | Date 25/06/2019 |
| Token No | SM/19-20/5257 25/06/2019 | Serial | 013 Last Visit: 25/06/2019 |
| Patient Name | Mr. BIRENDRA BAHADUR SINGH | Contact No | 9088160129 |
| Address | 145F TELIPARA LANE, CHATRA BAGER BAGAN, BAIDYABATI(M) | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||