Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06020 | Date 31/07/2019 |
| Token No | SM/19-20/7663 31/07/2019 | Serial | 019 Last Visit: 31/07/2019 |
| Patient Name | Mr. SOUMITA RAY | Contact No | |
| Address | G T ROAD , BAIDYABATI(M) | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||