Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06257 | Date 28/08/2019 |
| Token No | SM/19-20/9350 28/08/2019 | Serial | 073 Last Visit: 18/03/2020 |
| Patient Name | Mr. BHASKAR GHOSH | Contact No | 7003687049 |
| Address | 45 RAMKRISHNA ROAD, CHATRA, BAIDYABATI(M) | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||