Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03570 | Date 14/02/2019 |
| Token No | SM/19-20/11350 30/09/2019 | Serial | 023 Last Visit: 01/10/2019 |
| Patient Name | Mr. SARTHAK DEY | Contact No | 8017495808 |
| Address | 1/A DR.P N MUKHERJEE STREET | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||