Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05997 | Date 29/07/2019 |
| Token No | SM/21-22/2793 03/07/2021 | Serial | 008 Last Visit: 03/07/2021 |
| Patient Name | Mr. SONA GHORUI | Contact No | 8583026025 |
| Address | TELIPARA BAGER BAGAN CHATRA , BAIDYABATI(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||