Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07498 | Date 07/02/2020 |
| Token No | SM/19-20/17755 07/02/2020 | Serial | 028 Last Visit: 07/02/2020 |
| Patient Name | Mr. SATYAJIT PAUL | Contact No | 9830785520 |
| Address | BARABAHERA,KANNOGAR, | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||