Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04500 | Date 01/04/2019 |
| Token No | SM/19-20/60 01/04/2019 | Serial | 061 Last Visit: 02/04/2019 |
| Patient Name | Mr. RAHUL DAS | Contact No | 8617283489 |
| Address | 58/1 RABINDRA MUKHERJEE LANE , BAIDYABATI(M) | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||