Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04902 | Date 25/04/2019 |
| Token No | SM/19-20/1623 25/04/2019 | Serial | 009 Last Visit: 25/04/2019 |
| Patient Name | Mr. CHANDAN PRAMANIK | Contact No | 8336076423 |
| Address | 60/40 J N GUPTA LANE , BAIDYABATI(M) | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||