Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03853 | Date 25/02/2019 |
| Token No | SM/18-19/9416 25/02/2019 | Serial | 023 Last Visit: 26/11/2019 |
| Patient Name | Mr. BIBEKANANDA RAM | Contact No | 9239661619 |
| Address | CHATRA TETULTALA BAZER,BAIDYABATI(M) | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||