Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04369 | Date 25/03/2019 |
| Token No | SM/18-19/11148 25/03/2019 | Serial | 068 Last Visit: 24/04/2019 |
| Patient Name | Mr. SIKHA CHOWDHURY | Contact No | 9830582461 |
| Address | BOROBELUR ,MAKAL TALA | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||