Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05659 | Date 05/07/2019 |
| Token No | SM/19-20/5845 05/07/2019 | Serial | 008 Last Visit: 19/07/2019 |
| Patient Name | Mr. SANTANU MANNA | Contact No | 7688016495 |
| Address | CHARA BAGAN , BAIDYABATI(M) | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||