Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05864 | Date 20/07/2019 |
| Token No | SM/19-20/6923 20/07/2019 | Serial | 026 Last Visit: 20/07/2019 |
| Patient Name | Mr. JAYDEB SHAT | Contact No | |
| Address | BAGHER BAGAN,BAIDYABATI(M) | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||