Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05913 | Date 23/07/2019 |
| Token No | SM/19-20/7146 23/07/2019 | Serial | 084 Last Visit: 23/07/2019 |
| Patient Name | Mr. KARTIK CHAKRABORTY | Contact No | 7686893009 |
| Address | GODAR BAGAN BYE LANE , BAIDYABATI(M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/68 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||