Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06946 | Date 21/11/2019 |
| Token No | SM/19-20/13736 21/11/2019 | Serial | 074 Last Visit: 21/11/2019 |
| Patient Name | Mr. SWAPAN PAL | Contact No | 9433984279 |
| Address | 105/41/4/B G.T ROAD CHATRA BAIDYABATI(M) | Age | 53 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||