Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07850 | Date 19/03/2020 |
| Token No | SM/19-20/19929 19/03/2020 | Serial | 032 Last Visit: 27/03/2020 |
| Patient Name | Mr. SHIBNATH DAS | Contact No | 9088657116 |
| Address | 27/A RAMKRISHNA ROAD CHATRA SERAMPORE, BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||