Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07230 | Date 27/12/2019 |
| Token No | SM/19-20/15918 27/12/2019 | Serial | 002 Last Visit: 27/12/2019 |
| Patient Name | Mr. KASHINATH MAJHI | Contact No | 9804109138 |
| Address | 59 BARA BAGAN LANE SERAMPORE MALLICK PARA | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||