Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08972 | Date 12/11/2020 |
| Token No | SM/21-22/1193 06/05/2021 | Serial | 020 Last Visit: 03/06/2021 |
| Patient Name | Mr. SARAT PAUL | Contact No | 9051063324 |
| Address | 146 G T ROAD BOWBAZAR, BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||