Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07119 | Date 11/12/2019 |
| Token No | SM/19-20/15042 11/12/2019 | Serial | 021 Last Visit: 11/12/2019 |
| Patient Name | Mr. PRASANTA DAS | Contact No | 8981582444 |
| Address | 15(7)RAMKRISHNA ROAD BYE LANE,BAIDYABATI(M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||