Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04690 | Date 12/04/2019 |
| Token No | SM/19-20/825 12/04/2019 | Serial | 062 Last Visit: 12/04/2019 |
| Patient Name | Mr. TAPASH BHADURI | Contact No | 7003191235 |
| Address | CHATRA BOU BAJAR , BAIDYABATI(M) | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||