Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03495 | Date 12/02/2019 |
| Token No | SM/18-19/8421 12/02/2019 | Serial | 025 Last Visit: 12/02/2019 |
| Patient Name | Mr. TAPASH KUNDU | Contact No | 9051496077 |
| Address | CHATRA BHADURI PARA | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||