Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04962 | Date 29/04/2019 |
| Token No | SM/19-20/1868 29/04/2019 | Serial | 024 Last Visit: 26/06/2019 |
| Patient Name | Mr. PARTHA PRATIM BAG | Contact No | 8820624128 |
| Address | 23 SATCHASI PARA CHATRA , BAIDYABATI(M) | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||