Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05993 | Date 29/07/2019 |
| Token No | SM/19-20/7523 29/07/2019 | Serial | 059 Last Visit: 29/07/2019 |
| Patient Name | Mr. AVISHEK NANDI | Contact No | 6291488331 |
| Address | 132 CHATRA G T ROAD , BAIDYABATI(M) | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||