Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00975 | Date 07/09/2018 |
| Token No | SM/18-19/1344 07/09/2018 | Serial | 016 Last Visit: 07/09/2018 |
| Patient Name | Mr. MAHADEB DEY | Contact No | 9433132426 |
| Address | 2, DUTTA PARA LANE | Age | 90.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 66/46 mmHg | Weight | KG |
| Pulse Rate | 106 / min | Height | cm BMI: nan |
| Diagnosis | |||