Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05921 | Date 24/07/2019 |
| Token No | SM/19-20/7716 01/08/2019 | Serial | 047 Last Visit: 01/08/2019 |
| Patient Name | Mr. DULAL MANDAL | Contact No | 9073333797 |
| Address | 95 G.T ROAD PAMPANAGAR BAIDYABATI(M) | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||