Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06496 | Date 21/09/2019 |
| Token No | SM/19-20/10828 21/09/2019 | Serial | 037 Last Visit: 21/09/2019 |
| Patient Name | Mr. DEBASH PASWAN | Contact No | 9830714009 |
| Address | SEORAPHULI,KALI BARI,BAIDYABATI(M) | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||