Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07405 | Date 22/01/2020 |
| Token No | SM/19-20/18696 26/02/2020 | Serial | 039 Last Visit: 26/02/2020 |
| Patient Name | Mr. LAKHAN DUTTA | Contact No | 7059844372 |
| Address | 58/B/A VIVEKANAND SARANI NABAGRAM , BAIDYABATI(M) | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||