Ticket for Outdoor Patient
Ward No.  2 U-PHC No.   Registration No.  03759 Date  21/02/2019
Token No SM/19-20/1345   22/04/2019 Serial 060   Last Visit: 26/08/2019
Patient Name Mr. NANI LAL GHUCHAIT Contact No9804672309
Address 39 CHATRA SACHTASI PARA, BAIDYABATI (M) Age 57 YRS   Male
Token For Medicine, Charge Free
B.P                  mmHg Weight 56 KG
Pulse Rate                  / min Height             cm    BMI: inf
Diagnosis