Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07610 | Date 24/02/2020 |
| Token No | SM/19-20/18541 24/02/2020 | Serial | 017 Last Visit: 24/02/2020 |
| Patient Name | Mr. DEBASHIS BANERJEE | Contact No | 9123366760 |
| Address | 11 GODAR BAGAN BAIDYABATI(M) | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||