Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08743 | Date 15/09/2020 |
| Token No | SM/20-21/25697 15/09/2020 | Serial | 022 Last Visit: 15/09/2020 |
| Patient Name | Mr. NEMAI KUNDU | Contact No | 9007411138 |
| Address | 278 TELIPARA LANE CHATRA BAIDYABATI(M) | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||