Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00793 | Date 28/08/2018 |
| Token No | SM/18-19/5318 15/12/2018 | Serial | 050 Last Visit: 15/12/2018 |
| Patient Name | Mr. SOUMEN DEY | Contact No | 7044272711 |
| Address | BHADRESWAR | Age | 60.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||