Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09234 | Date 01/02/2021 |
| Token No | SM/20-21/29949 01/02/2021 | Serial | 013 Last Visit: 01/02/2021 |
| Patient Name | Mr. KANAI PAL | Contact No | |
| Address | 354/1 G. T. ROAD,CHATRA BOWBAZAR,BAIDYABATI(M) | Age | 85 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||