Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06904 | Date 19/11/2019 |
| Token No | SM/19-20/14082 26/11/2019 | Serial | 089 Last Visit: 26/11/2019 |
| Patient Name | Mr. RASBIHARI PAL | Contact No | 8902650424 |
| Address | 100/C G.T ROAD CHATRA , BAIDYABATI(M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||