Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05910 | Date 23/07/2019 |
| Token No | SM/19-20/7576 30/07/2019 | Serial | 025 Last Visit: 30/07/2019 |
| Patient Name | Mr. TANMOY BARIK | Contact No | 8481824984 |
| Address | 151(42/C) G.T ROAD CHATRA , BAIDYABATI(M) | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||