Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07756 | Date 11/03/2020 |
| Token No | SM/19-20/19420 11/03/2020 | Serial | 083 Last Visit: 11/03/2020 |
| Patient Name | Mr. JAYNTA DAS | Contact No | 9674111566 |
| Address | CHATRA SACHTASHI PARA , BAIDYABATI(M) | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||