Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 07574 | Date 18/02/2020 |
| Token No | SM/19-20/19868 18/03/2020 | Serial | 042 Last Visit: 24/12/2021 |
| Patient Name | Mr. CHANDRA PRAKASH DEBNATH | Contact No | 8420608785 |
| Address | 376 N.S ROAD ANJANGAR , BAIDYABATI(M) | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||