Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07344 | Date 16/01/2020 |
| Token No | SM/19-20/16728 16/01/2020 | Serial | 007 Last Visit: 16/01/2020 |
| Patient Name | Mr. RATAN SANTRA | Contact No | 9022052017 |
| Address | 18 N N ROY STREET | Age | 27 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||