Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04895 | Date 24/04/2019 |
| Token No | SM/19-20/14957 09/12/2019 | Serial | 067 Last Visit: 25/01/2020 |
| Patient Name | Mr. SUKDEV KAYAL | Contact No | 7595883191 |
| Address | 29/A CHATRA PATTI PARA , BAIDYABATI(M) | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||