Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09000 | Date 26/11/2020 |
| Token No | SM/20-21/27834 26/11/2020 | Serial | 035 Last Visit: 26/11/2020 |
| Patient Name | Mr. ANIL SHAW | Contact No | 9804902755 |
| Address | TELIPARA BAGER BAGAN CHATRA , BAIDYABATI(M) | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||