Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06657 | Date 16/10/2019 |
| Token No | SM/19-20/11853 16/10/2019 | Serial | 071 Last Visit: 16/10/2019 |
| Patient Name | Mr. BISWAJIT CHOUDHURY | Contact No | 6289518560 |
| Address | 349/17/A TELI PARA LANE , BAIDYABATI(M) | Age | 25 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||