Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03379 | Date 05/02/2019 |
| Token No | SM/18-19/8039 05/02/2019 | Serial | 030 Last Visit: 05/10/2020 |
| Patient Name | Mr. RAJKUMER MONDAL | Contact No | 8013879495 |
| Address | CHATRA GHOSH PARA,FAST LANE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||