Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05679 | Date 06/07/2019 |
| Token No | SM/19-20/5938 06/07/2019 | Serial | 001 Last Visit: 06/07/2019 |
| Patient Name | Mr. DEB PRAMANIK | Contact No | 7890383121 |
| Address | CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||