Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07202 | Date 20/12/2019 |
| Token No | SM/19-20/15674 20/12/2019 | Serial | 043 Last Visit: 28/12/2020 |
| Patient Name | Mr. GHANOSHYAM BHUIYA | Contact No | 9163520538 |
| Address | 6 K.K MUKHERJEE SARANI CHATRA SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||