Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07336 | Date 14/01/2020 |
| Token No | SM/19-20/19662 14/03/2020 | Serial | 065 Last Visit: 30/04/2020 |
| Patient Name | Mr. PABAN CHANDRA DAS | Contact No | 7338943207 |
| Address | 47(32) SHITALA TALA ROAD , BAIDYABATI(M) | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||