Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07571 | Date 18/02/2020 |
| Token No | SM/19-20/18293 18/02/2020 | Serial | 028 Last Visit: 18/02/2020 |
| Patient Name | Mr. SANJIT SARKAR | Contact No | 9051904367 |
| Address | 3/2 K.C MUKHERJEE STREET , BAIDYABATI(M) | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||