Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07475 | Date 05/02/2020 |
| Token No | SM/19-20/19347 11/03/2020 | Serial | 010 Last Visit: 10/05/2022 |
| Patient Name | Mr. MANTU DAS | Contact No | 9073441255 |
| Address | S. S. BOSE SARANI,BAIDYABATI CHAK,BAIDYABATI(M) | Age | 45YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||