Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06637 | Date 14/10/2019 |
| Token No | SM/19-20/18651 25/02/2020 | Serial | 051 Last Visit: 25/02/2020 |
| Patient Name | Mr. SRISTIDHAR ROY | Contact No | 9038932190 |
| Address | 90(36) SATCHASI PARA BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||