Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07113 | Date 09/12/2019 |
| Token No | SM/19-20/14960 09/12/2019 | Serial | 070 Last Visit: 09/12/2019 |
| Patient Name | Mr. RANJAN DHARA | Contact No | 7450863914 |
| Address | 29/A DAKSHIN BHATTACHARYA PARA,BAIDYABATI(M) | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||