Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06539 | Date 25/09/2019 |
| Token No | SM/19-20/11081 25/09/2019 | Serial | 023 Last Visit: 25/09/2019 |
| Patient Name | Mr. SUJOY SARKAR | Contact No | |
| Address | BARUI PARA,BAIDYABATI(M) | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||