Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07656 | Date 27/02/2020 |
| Token No | SM/19-20/19663 14/03/2020 | Serial | 066 Last Visit: 14/03/2020 |
| Patient Name | Mr. RUPAM DEY | Contact No | 7003606314 |
| Address | 38 GOBINDA MUKHERJEE LANE , BAIDYABATI(M) | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||