Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07430 | Date 28/01/2020 |
| Token No | SM/19-20/17313 28/01/2020 | Serial | 006 Last Visit: 17/02/2020 |
| Patient Name | Mr. DURJADHAN HAID | Contact No | 9143888994 |
| Address | MAHAMMADPUR PAHALAMPUR , SINGUR | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||