Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06188 | Date 21/08/2019 |
| Token No | SM/19-20/8872 21/08/2019 | Serial | 034 Last Visit: 21/08/2019 |
| Patient Name | Mr. PARTHA GHOSH | Contact No | 7980815607 |
| Address | 342 G.T ROAD , BAIDYABATI(M) | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||