Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07580 | Date 19/02/2020 |
| Token No | SM/19-20/18589 24/02/2020 | Serial | 065 Last Visit: 17/03/2020 |
| Patient Name | Mr. LAKSHMI NARAYAN DAS | Contact No | 9143695687 |
| Address | 21/1CHATRA SHITALATALA,BAIDYABATI(M) | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||