Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07786 | Date 14/03/2020 |
| Token No | SM/19-20/19609 14/03/2020 | Serial | 012 Last Visit: 14/03/2020 |
| Patient Name | Mr. PRANAY KUMAR SAMANTA | Contact No | 9051797327 |
| Address | 65 (20) MUKHERJEE PARA CHATRA , BAIDYABATI(M) | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 105 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||