Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05484 | Date 20/06/2019 |
| Token No | SM/19-20/5428 27/06/2019 | Serial | 011 Last Visit: 27/06/2019 |
| Patient Name | Mr. NADAN MONDAL | Contact No | |
| Address | 177(73/E/C)TELIPARA,BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||