Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06979 | Date 25/11/2019 |
| Token No | SM/19-20/13929 25/11/2019 | Serial | 038 Last Visit: 25/11/2019 |
| Patient Name | Mr. KASHINATH CHATTERJEE | Contact No | 9836189516 |
| Address | MALI BAGAN , BAIDYABTI (M) | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||