Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06503 | Date 23/09/2019 |
| Token No | SM/19-20/10918 23/09/2019 | Serial | 045 Last Visit: 23/09/2019 |
| Patient Name | Mr. AJAYA BAIDYA | Contact No | 6291948416 |
| Address | CHOTO BELUR ,CHAK POST | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||