Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05953 | Date 25/07/2019 |
| Token No | SM/19-20/7292 25/07/2019 | Serial | 045 Last Visit: 27/11/2019 |
| Patient Name | Mr. SUBHASH CHANDRA PAUL | Contact No | 9088444560 |
| Address | 361(146) G.T ROAD BOWBAZAR , BAIDYABATI(M) | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||