Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06275 | Date 30/08/2019 |
| Token No | SM/19-20/9475 30/08/2019 | Serial | 047 Last Visit: 30/08/2019 |
| Patient Name | Mr. BHAWESH BHOWMIK | Contact No | 8981804265 |
| Address | SHYAMNAGAR , PURBA CHANDI BARI | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||