Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07348 | Date 16/01/2020 |
| Token No | SM/19-20/17630 05/02/2020 | Serial | 006 Last Visit: 05/02/2020 |
| Patient Name | Mr. BASUDEB MOLLICK | Contact No | 9874047790 |
| Address | 77/G MUKHERJEE PARA,BAIDYABATI(M) | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||