Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07707 | Date 04/03/2020 |
| Token No | SM/19-20/19098 04/03/2020 | Serial | 072 Last Visit: 04/03/2020 |
| Patient Name | Mr. SRIKANTA GHOSH | Contact No | 9903140777 |
| Address | 52/25 RAM KRISHNA ROAD , BAIDYABATI(M) | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||