Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06043 | Date 02/08/2019 |
| Token No | SM/19-20/14155 27/11/2019 | Serial | 064 Last Visit: 27/11/2019 |
| Patient Name | Mr. DEBASISH ROY | Contact No | 8820245836 |
| Address | 2/1 NEEL BAGAN LANE , BAIDYABATI (M) | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||