Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04805 | Date 22/04/2019 |
| Token No | SM/19-20/1324 22/04/2019 | Serial | 039 Last Visit: 13/03/2020 |
| Patient Name | Mr. DHANANJOY SARKAR | Contact No | |
| Address | 3/2, K.C MUKHERJEE STREET (BELEL PARA), BAIDYABTI(M) | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||