Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06974 | Date 23/11/2019 |
| Token No | SM/19-20/13870 23/11/2019 | Serial | 065 Last Visit: 23/11/2019 |
| Patient Name | Mr. BISWANATH RUI DAS | Contact No | 6291284803 |
| Address | 37 HARIJAN ROAD , BAIDYABATI(M) | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||