Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06112 | Date 10/08/2019 |
| Token No | SM/19-20/8355 10/08/2019 | Serial | 076 Last Visit: 10/08/2019 |
| Patient Name | Mr. MITHU KARMOKAR | Contact No | 9830827305 |
| Address | 107 CHATRA SHITLATALA , BAIDYABATI(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||